Credentialing Manager jobs in Delaware

C
Project Coordinator/Compliance Analyst
  • Collabera
  • Wilmington, DE
  • The position requires a high learning agility with the ability to manage multiple data elements. In addition, a strong attention to quality and details is required and the ability to multitask ...
  • 3 days ago

N
Sales Territory Rep - Pharmaceutical
  • NuMed - DE
  • New Castle, DE
  • This position will report directly to the Sales Manager and must consistently meet or exceed all ... Must be able to acquire all industry certification and/or credentials (there might be a cost ...
  • 4 days ago

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$46,615 to $93,338

Credentialing Manager
Develops strong knowledge of the credentialing software, and full capabilities, to maximize its use and understands the functionality of the claims software, as it relates to the credentialing process.
February 11, 2020
Maintains a thorough understanding of medical staff bylaws, Joint Commission standards, hospital organization and policies, medical staff rules and regulations, national practitioner data bank regulations and procedures, credentialing and privilege delineation procedures and medico-legal issues.
January 16, 2020
Review and update departmental policies and procedures to ensure compliance with NCQA, CMS and other regulatory agencies.
January 08, 2020
Manages the processes of region-wide, complex information systems needs in project areas such as new business operating models, innovative approaches to IT solutions support, market research of emerging or available product functionality and operational readiness assessment.
January 01, 2020
Monitor Medicaid and Medicare sanctioning reports to ensure compliance with Health Care Financing Administration (HCFA) requirements regarding prohibition of excluded provider participation.
December 17, 2019
Assists in the development and implementation of medical record practices policies and procedures to ensure the timely, quality, and accurate delivery of medical record services.
December 13, 2019
Plans and directs program for orientation of new medical staff members to the hospital environment and duties and responsibilities of medical staff membership.
November 18, 2019
Provides day to day supervision of site-specific medical record services and staff consistent with established policy and regulatory requirements, and statutes governing health information management practices.
November 11, 2019
Manage operations for the credentialing and recredentialing process to satisfactorily meet all standards as required by HMSA policies and procedures, state and federal regulatory requirements and all relevant accreditation standards pertaining to the credentialing for HMSA providers in all lines of business including commercial, Medicare, Medicaid and ACA products.
November 03, 2019
Prepares,reviews and submits credentialing applications as determined by state, federalor accrediting agency guidelines and standards for review, recommendations anddecision by the appropriate organizational committee or body.
October 21, 2019