| Physician – Health Medical Officer Physician – Health Medical Officer | Physician – Health Medical Officer | <p class="MsoNormal" style="margin-bottom:0in;line-height:107%"><span style="font-family: Calibri, sans-serif;">We areseeking a dynamic and experienced physician to join our leadership team in LasVegas, overseeing operations across three clinics and leading a team of 8–10direct reports across clinic and mobile-based care delivery. This is afull-time role with a blend of clinical and administrative responsibilitiesaimed at improving care quality, team performance, and clinical outcomes.</span></p><p class="MsoNormal" style="margin-bottom:0in;line-height:107%"><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri"><o:p> </o:p></span></p><p class="MsoNormal" style="margin-bottom:0in;line-height:107%"><b><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">PositionHighlights<o:p></o:p></span></b></p><p class="MsoNormal" style="margin-bottom:0in;line-height:107%"></p><ul><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Compensation:$235,032 – $293,790</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">AdditionalIncentives: Performance-based bonuses and full benefits package</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Schedule:Full-time with 30% clinical and 70% administrative responsibilities</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Location:Las Vegas, NV – overseeing three clinics</span></li></ul><p></p><p class="MsoNormal" style="margin-bottom:0in;line-height:107%"><b><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">KeyResponsibilities<o:p></o:p></span></b></p><p class="MsoNormal" style="margin-bottom:0in;line-height:107%"></p><ul><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Deliverdirect patient care on a regular basis</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Leadclinical operations across multiple sites, ensuring clinical quality,compliance, and operational efficiency</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Develop,implement, and refine clinical programs in collaboration with market leadership</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Provideoversight and support to clinic and mobile-based care teams</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Partnerwith hospitals, skilled nursing facilities, and care management teams tocoordinate and review complex cases</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Hire,train, mentor, and evaluate direct clinical staff</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Createand improve provider training protocols and materials</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Promotea culture of accountability, teamwork, and continuous improvement</span></li></ul><p></p><p class="MsoNormal" style="margin-bottom:0in;line-height:107%"><b><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Requirements<o:p></o:p></span></b></p><p class="MsoNormal" style="margin-bottom:0in;line-height:107%"></p><ul><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">MD orDO from an accredited medical school</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Boardcertified or board eligible in Internal Medicine, Family Medicine, orPediatrics</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Minimumof 2 years of clinical experience in hospital medicine, primary care, orspecialty medicine</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Unrestrictedmedical license in Nevada (or eligibility to obtain)</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">ActiveDEA license</span></li><li><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Successfulcompletion of a Tuberculosis test</span></li></ul><p></p><p class="MsoNormal" style="margin-bottom:0in;line-height:107%"><span style="font-family:"Calibri",sans-serif;mso-fareast-font-family:Calibri">Thisis an exceptional opportunity for a physician who enjoys balancing patient carewith leadership and team development responsibilities in a growing,patient-centered organization. If you are passionate about driving clinicalexcellence and mentoring providers, we encourage you to apply.<o:p></o:p></span></p> |
| Medical Front Desk Receptionist Medical Front Desk Receptionist | Medical Front Desk Receptionist | <p class="MsoNormal" style="margin-bottom:0in"><span style="font-family: Calibri, sans-serif; font-size: 11pt; background-color: var(--rz-editor-content-background-color); color: var(--bs-body-color); font-weight: var(--bs-body-font-weight); text-align: var(--bs-body-text-align);">We are currently seeking adetail-oriented and customer-focused Medical Front Desk Receptionist to joinour healthcare team in West Haven, CT. The Front Desk Receptionist plays acritical role in providing excellent customer service and ensuring efficientfront desk operations.</span></p><p class="MsoNormal" style="margin-bottom:0in"><br></p><p class="MsoNormal" style="margin-bottom:0in"><b><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Compensation:</span></b><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Full-time; $21.00 - $23.00 per hour plus benefits package<o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><br></p><p class="MsoNormal" style="margin-bottom:0in"><b><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Key Responsibilities:<o:p></o:p></span></b></p><p class="MsoNormal" style="margin-bottom:0in"></p><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Greet patients with a warmand friendly demeanor as they arrive, ensuring a positive first impression.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Assist in scheduling patientappointments, making reminder calls, and rescheduling as necessary.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Accurately collect and inputpatient information into the electronic medical records (EMR) system.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Verify patient insuranceinformation, collect co-payments, and address billing inquiries.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Manage incoming phone callsprofessionally, directing inquiries to the appropriate personnel.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Maintain and update patientrecords, ensuring confidentiality and compliance with HIPAA regulations.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Manage the patient flow inthe waiting area to minimize wait times and maintain an organized front deskarea.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Assist healthcare providersand medical staff with administrative tasks as needed.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Perform medical assistantduties such as taking patient vital signs, preparing patients for exams, andassisting with minor procedures.</span></li></ul><p></p><p class="MsoNormal" style="margin-bottom:0in"><b><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Requirements:<o:p></o:p></span></b></p><p class="MsoNormal" style="margin-bottom:0in"></p><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">High school diploma orequivalent.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Prior experience as a FrontDesk Receptionist in a medical setting is preferred.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Medical Assistantcertification is a plus.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Strong interpersonal andcommunication skills.</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Proficiency in usingelectronic medical records systems.</span></li></ul><p></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Join our team and contributeto a welcoming and professional healthcare environment in</span> Woodbridge,CT!<o:p></o:p></p> |
| Licensing & Credentialing Manager Licensing & Credentialing Manager | Licensing & Credentialing Manager | <p class="MsoNormal" style="margin-bottom:0in"><span style="font-family: Calibri, sans-serif; font-size: 11pt;">The Licensing &Credentialing Manager plays a key role in building and maintaining our payernetwork. This position oversees licensing, credentialing, and providerenrollment processes in line with company policies, industry standards, andregulatory requirements. Responsibilities include securing payer contracts innew and existing markets, ensuring timely enrollment with public and privatepayers, managing licensing and credentialing activities, and resolvingenrollment or billing issues. This role ensures clinicians maintain currentcredentials and licenses to practice in their specialty.</span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Essential Functions:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Payer Network Development:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Lead payer contractprocurement from outreach to execution</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Negotiate terms withnational and regional payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Build and maintain payerrelationships across markets</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Monitor and manage contractsthrough their lifecycle</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Partner with legal andfinance to ensure compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Data Analysis &Reporting</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Analyze enrollment data toimprove processes</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Track contract performance,utilization, quality, and denials</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Provide reports onenrollment, licensing, and credential compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Licensing &Credentialing:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Manage licensing andcredentialing activities with third-party partners</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Maintain accurate records,monitor expirations, and oversee renewals</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ensure compliance with alllaws, regulations, and accreditation standards</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Implement efficientprocedures to streamline enrollment</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Serve as the main contactfor licensing, credentialing, and enrollment inquiries</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Actively participate inCredentialing Committee discussions</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Qualifications:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Bachelor’s degree inBusiness, Healthcare Administration, or related field</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">2–4 years of experience inpayer contracting, ideally in telehealth</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Skilled in negotiating andmanaging contracts across multiple payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Strong knowledge of payerfee schedules, credentialing requirements, and regulatory bodies (CMS, NCQA,etc.)</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Experience withcredentialing software or third-party vendors</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ability to maintain HIPAAcompliance and manage confidential information</span></li></ul></p> |
| Licensing & Credentialing Manager Licensing & Credentialing Manager | Licensing & Credentialing Manager | <p class="MsoNormal" style="margin-bottom:0in"><span style="font-family: Calibri, sans-serif; font-size: 11pt;">The Licensing &Credentialing Manager plays a key role in building and maintaining our payernetwork. This position oversees licensing, credentialing, and providerenrollment processes in line with company policies, industry standards, andregulatory requirements. Responsibilities include securing payer contracts innew and existing markets, ensuring timely enrollment with public and privatepayers, managing licensing and credentialing activities, and resolvingenrollment or billing issues. This role ensures clinicians maintain currentcredentials and licenses to practice in their specialty.</span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Essential Functions:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Payer Network Development:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Lead payer contractprocurement from outreach to execution</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Negotiate terms withnational and regional payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Build and maintain payerrelationships across markets</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Monitor and manage contractsthrough their lifecycle</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Partner with legal andfinance to ensure compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Data Analysis &Reporting</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Analyze enrollment data toimprove processes</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Track contract performance,utilization, quality, and denials</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Provide reports onenrollment, licensing, and credential compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Licensing &Credentialing:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Manage licensing andcredentialing activities with third-party partners</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Maintain accurate records,monitor expirations, and oversee renewals</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ensure compliance with alllaws, regulations, and accreditation standards</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Implement efficientprocedures to streamline enrollment</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Serve as the main contactfor licensing, credentialing, and enrollment inquiries</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Actively participate inCredentialing Committee discussions</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Qualifications:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Bachelor’s degree inBusiness, Healthcare Administration, or related field</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">2–4 years of experience inpayer contracting, ideally in telehealth</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Skilled in negotiating andmanaging contracts across multiple payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Strong knowledge of payerfee schedules, credentialing requirements, and regulatory bodies (CMS, NCQA,etc.)</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Experience withcredentialing software or third-party vendors</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ability to maintain HIPAAcompliance and manage confidential information</span></li></ul></p> |
| Licensing & Credentialing Manager Licensing & Credentialing Manager | Licensing & Credentialing Manager | <p class="MsoNormal" style="margin-bottom:0in"><span style="font-family: Calibri, sans-serif; font-size: 11pt;">The Licensing &Credentialing Manager plays a key role in building and maintaining our payernetwork. This position oversees licensing, credentialing, and providerenrollment processes in line with company policies, industry standards, andregulatory requirements. Responsibilities include securing payer contracts innew and existing markets, ensuring timely enrollment with public and privatepayers, managing licensing and credentialing activities, and resolvingenrollment or billing issues. This role ensures clinicians maintain currentcredentials and licenses to practice in their specialty.</span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Essential Functions:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Payer Network Development:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Lead payer contractprocurement from outreach to execution</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Negotiate terms withnational and regional payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Build and maintain payerrelationships across markets</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Monitor and manage contractsthrough their lifecycle</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Partner with legal andfinance to ensure compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Data Analysis &Reporting</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Analyze enrollment data toimprove processes</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Track contract performance,utilization, quality, and denials</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Provide reports onenrollment, licensing, and credential compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Licensing &Credentialing:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Manage licensing andcredentialing activities with third-party partners</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Maintain accurate records,monitor expirations, and oversee renewals</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ensure compliance with alllaws, regulations, and accreditation standards</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Implement efficientprocedures to streamline enrollment</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Serve as the main contactfor licensing, credentialing, and enrollment inquiries</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Actively participate inCredentialing Committee discussions</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Qualifications:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Bachelor’s degree inBusiness, Healthcare Administration, or related field</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">2–4 years of experience inpayer contracting, ideally in telehealth</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Skilled in negotiating andmanaging contracts across multiple payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Strong knowledge of payerfee schedules, credentialing requirements, and regulatory bodies (CMS, NCQA,etc.)</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Experience withcredentialing software or third-party vendors</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ability to maintain HIPAAcompliance and manage confidential information</span></li></ul></p> |
| Licensing & Credentialing Manager Licensing & Credentialing Manager | Licensing & Credentialing Manager | <p class="MsoNormal" style="margin-bottom:0in"><span style="font-family: Calibri, sans-serif; font-size: 11pt;">The Licensing &Credentialing Manager plays a key role in building and maintaining our payernetwork. This position oversees licensing, credentialing, and providerenrollment processes in line with company policies, industry standards, andregulatory requirements. Responsibilities include securing payer contracts innew and existing markets, ensuring timely enrollment with public and privatepayers, managing licensing and credentialing activities, and resolvingenrollment or billing issues. This role ensures clinicians maintain currentcredentials and licenses to practice in their specialty.</span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Essential Functions:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Payer Network Development:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Lead payer contractprocurement from outreach to execution</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Negotiate terms withnational and regional payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Build and maintain payerrelationships across markets</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Monitor and manage contractsthrough their lifecycle</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Partner with legal andfinance to ensure compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Data Analysis &Reporting</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Analyze enrollment data toimprove processes</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Track contract performance,utilization, quality, and denials</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Provide reports onenrollment, licensing, and credential compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Licensing &Credentialing:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Manage licensing andcredentialing activities with third-party partners</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Maintain accurate records,monitor expirations, and oversee renewals</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ensure compliance with alllaws, regulations, and accreditation standards</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Implement efficientprocedures to streamline enrollment</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Serve as the main contactfor licensing, credentialing, and enrollment inquiries</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Actively participate inCredentialing Committee discussions</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Qualifications:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Bachelor’s degree inBusiness, Healthcare Administration, or related field</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">2–4 years of experience inpayer contracting, ideally in telehealth</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Skilled in negotiating andmanaging contracts across multiple payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Strong knowledge of payerfee schedules, credentialing requirements, and regulatory bodies (CMS, NCQA,etc.)</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Experience withcredentialing software or third-party vendors</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ability to maintain HIPAAcompliance and manage confidential information</span></li></ul></p> |
| Licensing & Credentialing Manager Licensing & Credentialing Manager | Licensing & Credentialing Manager | <p class="MsoNormal" style="margin-bottom:0in"><span style="font-family: Calibri, sans-serif; font-size: 11pt;">The Licensing &Credentialing Manager plays a key role in building and maintaining our payernetwork. This position oversees licensing, credentialing, and providerenrollment processes in line with company policies, industry standards, andregulatory requirements. Responsibilities include securing payer contracts innew and existing markets, ensuring timely enrollment with public and privatepayers, managing licensing and credentialing activities, and resolvingenrollment or billing issues. This role ensures clinicians maintain currentcredentials and licenses to practice in their specialty.</span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Essential Functions:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Payer Network Development:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Lead payer contractprocurement from outreach to execution</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Negotiate terms withnational and regional payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Build and maintain payerrelationships across markets</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Monitor and manage contractsthrough their lifecycle</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Partner with legal andfinance to ensure compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Data Analysis &Reporting</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Analyze enrollment data toimprove processes</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Track contract performance,utilization, quality, and denials</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Provide reports onenrollment, licensing, and credential compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Licensing &Credentialing:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Manage licensing andcredentialing activities with third-party partners</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Maintain accurate records,monitor expirations, and oversee renewals</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ensure compliance with alllaws, regulations, and accreditation standards</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Implement efficientprocedures to streamline enrollment</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Serve as the main contactfor licensing, credentialing, and enrollment inquiries</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Actively participate inCredentialing Committee discussions</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Qualifications:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Bachelor’s degree inBusiness, Healthcare Administration, or related field</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">2–4 years of experience inpayer contracting, ideally in telehealth</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Skilled in negotiating andmanaging contracts across multiple payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Strong knowledge of payerfee schedules, credentialing requirements, and regulatory bodies (CMS, NCQA,etc.)</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Experience withcredentialing software or third-party vendors</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ability to maintain HIPAAcompliance and manage confidential information</span></li></ul></p> |
| Licensing & Credentialing Manager Licensing & Credentialing Manager | Licensing & Credentialing Manager | <p class="MsoNormal" style="margin-bottom:0in"><span style="font-family: Calibri, sans-serif; font-size: 11pt;">The Licensing &Credentialing Manager plays a key role in building and maintaining our payernetwork. This position oversees licensing, credentialing, and providerenrollment processes in line with company policies, industry standards, andregulatory requirements. Responsibilities include securing payer contracts innew and existing markets, ensuring timely enrollment with public and privatepayers, managing licensing and credentialing activities, and resolvingenrollment or billing issues. This role ensures clinicians maintain currentcredentials and licenses to practice in their specialty.</span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Essential Functions:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Payer Network Development:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Lead payer contractprocurement from outreach to execution</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Negotiate terms withnational and regional payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Build and maintain payerrelationships across markets</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Monitor and manage contractsthrough their lifecycle</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Partner with legal andfinance to ensure compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Data Analysis &Reporting</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Analyze enrollment data toimprove processes</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Track contract performance,utilization, quality, and denials</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Provide reports onenrollment, licensing, and credential compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Licensing &Credentialing:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Manage licensing andcredentialing activities with third-party partners</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Maintain accurate records,monitor expirations, and oversee renewals</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ensure compliance with alllaws, regulations, and accreditation standards</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Implement efficientprocedures to streamline enrollment</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Serve as the main contactfor licensing, credentialing, and enrollment inquiries</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Actively participate inCredentialing Committee discussions</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Qualifications:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Bachelor’s degree inBusiness, Healthcare Administration, or related field</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">2–4 years of experience inpayer contracting, ideally in telehealth</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Skilled in negotiating andmanaging contracts across multiple payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Strong knowledge of payerfee schedules, credentialing requirements, and regulatory bodies (CMS, NCQA,etc.)</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Experience withcredentialing software or third-party vendors</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ability to maintain HIPAAcompliance and manage confidential information</span></li></ul></p> |
| Temporary Social Worker Temporary Social Worker | Temporary Social Worker | <p class="MsoNormal" style="margin-bottom:0in">We are seeking a compassionate and dedicatedSocial Worker (LMSW or LCSW) to join our team in Seneca, NY. This role is partof a Program of All-Inclusive Care for the Elderly (PACE). The Social Workerwill play a key role in improving the quality of life for participants throughadvocacy, assessment, planning, and direct support in various aspects of theirlives, including psychological, psychosocial, financial, environmental, andinterpersonal matters.<o:p></o:p></p><p class="MsoNormal" style="margin-bottom:0in">This position requires collaboration withparticipants, their families, interdisciplinary care teams, and communitypartners to ensure a seamless continuum of care. <o:p></o:p></p><p class="MsoNormal" style="margin-bottom:0in"><o:p> </o:p></p><p class="MsoNormal" style="margin-bottom:0in"><b>Compensation:</b> $40-$50Per Hour<o:p></o:p></p><p class="MsoNormal" style="margin-bottom:0in"><o:p> </o:p></p><p class="MsoNormal" style="margin-bottom:0in"><b>Schedule:<o:p></o:p></b></p><p class="MsoNormal" style="margin-bottom:0in"><b><o:p> </o:p></b></p><ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l3 level1 lfo1; tab-stops:list .5in">Monday – Friday, 9:00 AM – 5:00 PM<o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l3 level1 lfo1; tab-stops:list .5in">Full-time, on-site and fieldwork as needed<o:p></o:p></li></ul><p class="MsoNormal" style="margin-bottom:0in"><o:p> </o:p></p><p class="MsoNormal" style="margin-bottom:0in"><b>Key Responsibilities:<o:p></o:p></b></p><p class="MsoNormal" style="margin-bottom:0in"><b><o:p> </o:p></b></p><ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in">Advocate for participants and their families to ensure they receive comprehensive, compassionate care.<o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in">Assess and evaluate psychosocial functioning, including conducting mental status assessments.<o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in">Assist participants with navigating complex issues such as adjustment to illness/disability/treatment, financial concerns, and environmental challenges.<o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in">Provide crisis intervention, end-of-life care, and emotional support to participants and their families.<o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in">Collaborate with the Interdisciplinary Care Team (IDT) and community partners such as hospitals, skilled nursing facilities (SNFs), assisted living facilities (ALFs), and Adult Protective Services (APS).<o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in">Participate in discharge planning and care coordination to ensure smooth transitions between care settings.<o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in">Enlist and connect participants to community resources and agencies to address unmet needs.<o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in">Deliver education to participants and their caregivers to promote health, wellness, and independence.<o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in">Conduct home visits, visits to PACE sites, and travel to community settings as required.<o:p></o:p></li></ul><p class="MsoNormal" style="margin-bottom:0in"><o:p> </o:p></p><p class="MsoNormal" style="margin-bottom:0in"><b>Requirements:<o:p></o:p></b></p><p class="MsoNormal" style="margin-bottom:0in"><b><o:p> </o:p></b></p><ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l2 level1 lfo3; tab-stops:list .5in">Master of Social Work (MSW) from an accredited college or university <o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l2 level1 lfo3; tab-stops:list .5in">Active New York State LMSW or LCSW license</li><li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo4; tab-stops:list .5in">Minimum of one (1) year experience in a healthcare setting – required.<o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo4; tab-stops:list .5in">One (1) year experience working with a frail or elderly population preferred.<o:p></o:p></li> <ul style="margin-top:0in" type="circle"> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level2 lfo4; tab-stops:list 1.0in">If under one year of experience, must complete PACE training upon hire.<o:p></o:p></li> </ul> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo4; tab-stops:list .5in">Experience in home care and/or field work preferred.<o:p></o:p></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo4; tab-stops:list .5in">Regular access to a car for field visits preferred, but not required. </li></ul><p class="MsoNormal" style="margin-bottom:0in">Seneca, New York is a small town in OntarioCounty nestled in the beautiful Finger Lakes Region. With a blend of rural charm, culturallandmarks, and a welcoming community, Seneca is an ideal place to live and workwhile exploring one of New York’s most scenic regions.<o:p></o:p></p> |
| Licensing & Credentialing Manager Licensing & Credentialing Manager | Licensing & Credentialing Manager | <p class="MsoNormal" style="margin-bottom:0in"><span style="font-family: Calibri, sans-serif; font-size: 11pt;">The Licensing &Credentialing Manager plays a key role in building and maintaining our payernetwork. This position oversees licensing, credentialing, and providerenrollment processes in line with company policies, industry standards, andregulatory requirements. Responsibilities include securing payer contracts innew and existing markets, ensuring timely enrollment with public and privatepayers, managing licensing and credentialing activities, and resolvingenrollment or billing issues. This role ensures clinicians maintain currentcredentials and licenses to practice in their specialty.</span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Essential Functions:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Payer Network Development:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Lead payer contractprocurement from outreach to execution</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Negotiate terms withnational and regional payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Build and maintain payerrelationships across markets</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Monitor and manage contractsthrough their lifecycle</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Partner with legal andfinance to ensure compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Data Analysis &Reporting</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Analyze enrollment data toimprove processes</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Track contract performance,utilization, quality, and denials</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Provide reports onenrollment, licensing, and credential compliance</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Licensing &Credentialing:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Manage licensing andcredentialing activities with third-party partners</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Maintain accurate records,monitor expirations, and oversee renewals</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ensure compliance with alllaws, regulations, and accreditation standards</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Implement efficientprocedures to streamline enrollment</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Serve as the main contactfor licensing, credentialing, and enrollment inquiries</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Actively participate inCredentialing Committee discussions</span></li></ul></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><span style="font-weight: bold;">Qualifications:</span><o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><ul><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Bachelor’s degree inBusiness, Healthcare Administration, or related field</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">2–4 years of experience inpayer contracting, ideally in telehealth</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Skilled in negotiating andmanaging contracts across multiple payers</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Strong knowledge of payerfee schedules, credentialing requirements, and regulatory bodies (CMS, NCQA,etc.)</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Experience withcredentialing software or third-party vendors</span></li><li><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Ability to maintain HIPAAcompliance and manage confidential information</span></li></ul></p> |
| Administrative Medicine Physician jobs in New York | 65 | |
| Administrative Medicine Physician jobs in Arizona | 65 | |
| Administrative Medicine Physician jobs in Florida | 65 | |
| Administrative Medicine Physician jobs in Texas | 65 | |
| Administrative Medicine Physician jobs in Washington | 65 | |
| Administrative Medicine Physician jobs in Colorado | 65 | |
| Administrative Medicine Physician jobs in Connecticut | 65 | |
| Administrative Medicine Physician jobs in Massachusetts | 65 | |
| Administrative Medicine Physician jobs in Nevada | 65 | |
| Administrative Medicine Physician jobs in New Hampshire | 65 | |
| Administrative Medicine Physician jobs in New Jersey | 65 | |
| Administrative Medicine Physician jobs in Pennsylvania | 65 | |
| Administrative Medicine Physician jobs in Vermont | 65 |