Credentialing Manager jobs in Oklahoma

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Manager, Provider Relations
  • Oklahoma Complete Health
  • Norman, OK
  • Manage day-to-day provider relations activities and provider relations department * Develop ... Coordinate all pre-contract activities with providers such as, site visits, credentialing ...
  • 7 hours ago

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Manager, Provider Relations
  • Oklahoma Complete Health
  • Mustang, OK
  • Manage day-to-day provider relations activities and provider relations department * Develop ... Coordinate all pre-contract activities with providers such as, site visits, credentialing ...
  • 7 hours ago

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Manager, Provider Relations
  • Oklahoma Complete Health
  • Luther, OK
  • Manage day-to-day provider relations activities and provider relations department * Develop ... Coordinate all pre-contract activities with providers such as, site visits, credentialing ...
  • 7 hours ago

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Provider Data Management Analyst I
  • Oklahoma Complete Health
  • Newcastle, OK
  • ... or credentialing in a managed care, insurance, or medical office environment. Experience performing data analysis in Excel or similar tools strongly preferred. Centene is an equal opportunity ...
  • 7 hours ago

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Provider Data Management Analyst I
  • Oklahoma Complete Health
  • Union City, OK
  • ... or credentialing in a managed care, insurance, or medical office environment. Experience performing data analysis in Excel or similar tools strongly preferred. Centene is an equal opportunity ...
  • 7 hours ago

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Health System Specialist (Credentialing and Privileging)
  • Veterans Affairs, Veterans Health Administration
  • Muskogee, OK
  • ... credentialing and privileging (C&P) operations. The incumbent is responsible for collecting ... Assists the C&P Manager/Analyst in developing short- and long-term goals necessary to accomplish ...
  • 4 days ago

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Supervisor, Childrens Learning Lab
  • Tulsa Technology Center
  • Tulsa, OK
  • Customarily and regularly manage direct reports to maximize productivity, efficiency, and the ... Must have current Oklahoma Director's Credential issued by CECPD per DHS * Must have a Food Handler ...
  • 5 days ago

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RN - Registered Nurse - Case Management - Bertlesville
  • Ascension Health
  • Bartlesville, OK
  • We Are Hiring RN - Registered Nurse - Case Management Schedule: FT, Days ( Monday-Friday, 8am-430pm ... Registered Nurse credentialed from the Oklahoma Board of Nursing required. * BLS Provider ...
  • 5 days ago

Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$42,567 to $85,224

Credentialing Manager
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.
March 04, 2021
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.
February 23, 2021
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.
February 17, 2021
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.
February 10, 2021
Review and update departmental policies and procedures to ensure compliance with NCQA, CMS and other regulatory agencies.
February 09, 2021
Monitor Medicaid and Medicare sanctioning reports to ensure compliance with Health Care Financing Administration (HCFA) requirements regarding prohibition of excluded provider participation.
January 31, 2021
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.
January 30, 2021
Plans and directs program for orientation of new medical staff members to the hospital environment and duties and responsibilities of medical staff membership.
January 28, 2021
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.
December 12, 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.
September 13, 2020