Credentialing Manager jobs in Rochester, NY

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Civil Engineer - Project Engineer / Manager
  • Project Engineer / Manager - LaBella Associates
  • Rochester, NY FULL_TIME
  • We are in search of a capable candidate to play a key role in a broad spectrum of projects, encompassing everything from large utility infrastructure projects and athletic fields to land development work and higher education facilities. This dynamic position involves direct engagement with clients in the public sector, offering the candidate a valuable opportunity to interact directly with them. The role requires versatility, as the candidate will contribute to projects with diverse scopes, showcasing their ability to navigate challenges across various disciplines.

    Duties

    • Plan and design large scale infrastructure, land development and athletic field projects.
    • Oversee and guide projects from initial concept through construction closeout.
    • Mentor and lead project team and direct reports
    • Perform and review detailed hydraulic calculations.
    • Produce effective and high-quality project documents (including reports, drawings, and specifications)
    • Provide bidding and construction administration services.
    • Assist in the preparation of project proposals.
    • Communicate directly with and maintain client relationships.

    Salary Range: $65,000 - $90,000 per year

    The specific salary offered may be influenced by a variety of factors including but not limited to the candidate's relevant experience, education, and work location.

  • 9 Days Ago

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Payer Enrollment & Credentialing Specialist
  • Planned Parenthood CWNY
  • Rochester, NY FULL_TIME
  • DescriptionPayer Enrollment & Credentialing SpecialistAffiliate Wide - Buffalo, Rochester, & Syracuse, NYPlanned Parenthood of Central and Western New York (PPCWNY) protects and provides health care a...
  • 5 Days Ago

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Insurance Credentialing Assistant
  • UR Medicine Thompson Health
  • Canandaigua, NY FULL_TIME
  • Assists the Insurance Credentialing Specialist to ensure all hospital-based providers are credentialed and recertified with applicable payers. Recognizes and supports The Thompson Way. Lives the CARES...
  • 19 Days Ago

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Store Manager
  • Garage clothing-Store manager-Eastview mall-Victor...
  • Victor, NY FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 1 Month Ago

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Taco Bell General Manager
  • Taco Bell Manager- Indus Hospitality Group
  • Macedon, NY FULL_TIME
  • Taco Bell Restaurant Manager Taco Bell - Macedon, NY Description Indus Hospitality Group’s mission is developing, empowering, and supporting success in our employees. At the core of our brand we stand...
  • 1 Month Ago

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Taco Bell General Manager
  • Taco Bell Manager- Indus Hospitality Group
  • Farmington, NY FULL_TIME
  • Taco Bell Restaurant Manager Taco Bell - Farmington, NY Description Indus Hospitality Group’s mission is developing, empowering, and supporting success in our employees. At the core of our brand we st...
  • 1 Month Ago

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0 Credentialing Manager jobs found in Rochester, NY area

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Assistant Residential Manager - Hannick Hall
  • Catholic Charities Family & Community Services
  • Newark, NY
  • Job Details Level Management Job Location Hannick Hall Residence - Newark, NY Position Type Full Time Education Level Ba...
  • 5/14/2024 12:00:00 AM

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Program Coordinator II, Law and Criminal Justice - Paralegal
  • Monroe Community College
  • Rochester, NY
  • Job Description: Function of Position: The Coordinator, Paralegal Program, reports directly to the Chair of the Law/Crim...
  • 5/13/2024 12:00:00 AM

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Program Coordinator II, Center for Teaching Excellence
  • Monroe Community College
  • Rochester, NY
  • Job Description: Function of Position: The Program Coordinator II is responsible for the planning, development, manageme...
  • 5/13/2024 12:00:00 AM

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Commissioning/Validation Specialist
  • Stantec
  • Rochester, NY
  • Commissioning/Validation Specialist - ( 240000E0 ) Description Stantec Buildings is on a mission to become the world's l...
  • 5/13/2024 12:00:00 AM

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Peer Specialist Supervisor
  • Catholic Charities Family & Community Services
  • Rochester, NY
  • Job Details Level Entry Job Location 79 North Clinton Ave - Rochester, NY Position Type Full Time Education Level High S...
  • 5/13/2024 12:00:00 AM

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Director of Operations, Consulting and Technical Assistance
  • Coordinated Care Services, Inc. (CCSI)
  • Rochester, NY
  • Job Type Full-time Description Director of Operations, Consulting and Technical Assistance Consulting Remote in New York...
  • 5/11/2024 12:00:00 AM

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Vocational & Life Skills Specialist
  • Catholic Charities Family & Community Services
  • Rochester, NY
  • Job Details Job Location Alexander House - Rochester, NY Position Type Full Time Education Level Bachelors Degree Salary...
  • 5/11/2024 12:00:00 AM

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Program Coordinator - Refugee Preferred Communities
  • Catholic Charities Family & Community Services
  • Rochester, NY
  • Job Details Level Experienced Job Location 87 North Clinton Ave - Rochester, NY Position Type Full Time Education Level ...
  • 5/10/2024 12:00:00 AM

Rochester is at 43°9′56″N 77°36′41″W / 43.16556°N 77.61139°W / 43.16556; -77.61139 (43.165496, −77.611504). The city is about 73 miles (120 km) east-northeast of Buffalo and about 87 miles (140 km) west of Syracuse and Albany, the state capital is 226 miles (360 km) to the east ; it sits on Lake Ontario's southern shore. The Genesee River bisects the city. Toronto, Canada is northwest 168 miles (270 km) and New York City is about 350 miles (560 km) to the southeast. According to the United States Census Bureau, the city has a total area of 37.1 square miles (96 km2), of which 35.8 square m...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$48,079 to $96,229
Rochester, New York area prices
were up 1.5% from a year ago

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.
September 07, 2022
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.
October 31, 2022
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.
November 22, 2022
Monitor Medicaid and Medicare sanctioning reports to ensure compliance with Health Care Financing Administration (HCFA) requirements regarding prohibition of excluded provider participation.
January 15, 2023
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.
February 02, 2023
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.
March 23, 2023
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.
April 03, 2023
Review and update departmental policies and procedures to ensure compliance with NCQA, CMS and other regulatory agencies.
April 26, 2023
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.
May 10, 2023
Plans and directs program for orientation of new medical staff members to the hospital environment and duties and responsibilities of medical staff membership.
May 19, 2023