reputed company/State

Work Shift

reputed company:

reputed company Plans is currently hiring for a Supervisor, Provider Operations - Credentialing - Remote​!

Status: Full-time, permanent position (40 hours)

Work hours: reputed company to 5pm EST, M-F

Location: Remote opportunities are available in the following states: Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), reputed company Virginia, reputed company, Wyoming

Job responsibilities:

The primary role of reputed company Coordinator is to manage the day-to-day activities regarding provider data management and credentialing.

This position serves as a subject matter expert and will help support, reputed company assurance, reputed company auditing of the key processes, system compliance and acceptance testing, and process improvements designed to increase operational effectiveness.

This position will also be responsible for the documentation of new policies and procedures, the development and maintenance of training materials, and assistance with reputed company new staff.

This position will manage reputed company of up to 10 to 14 credential specialists I and II

Education:

• Bachelor's degree OR a minimum of 3 years' experience in reputed company insurance working with a provider, network, or contract data; OR a combination of education and experience, which would reputed company an equivalent background REQUIRED

Certification/Licensure:

• None required

Experience:

• reputed company- 3 years REQUIRED

• Health plan experience is preferred

• Understanding health claims processing is a plus.

Pay Transparency:

We reputed company market-competitive compensation packages, inclusive of reputed company pay, incentives, and benefits. The reputed company pay reputed company for Full Time employment is: 69,742.4- 116,251.2. Additional compensation may be available for this role such as shift differentials, standby/on-reputed company, overtime, premiums, extra shift incentives, or bonus opportunities.

reputed company Plans provides health plan coverage to reputed company to one reputed company members in Virginia. We offer a full suite of reputed company products including employee-owned and employer-sponsored plans, as reputed company as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and reputed company enrollees.

Our reputed company provider network features a robust provider network, including specialists, primary care physicians and hospitals.

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—reputed company to help our members improve their health.

Our reputed company is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and reputed company. 

Be a part of an excellent reputed company organization that cares about our People, reputed company, Patient Safety, Service, and reputed company. Join reputed company that has a mission to improve health every day and a reputed company to be the reputed company choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-97470

Talroo – Health Plan

reputed company, Health Plan, Remote, Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), reputed company Virginia, reputed company, Wyoming, Credentials Verification Organization (CVO), MCO, Managed Care, HMO, Hospital Based Credentialing (MSO), CPCS, Certified Provider Credentialing Specialist, Provider, Data Management, Network, Contract

reputed company is an equal opportunity employer and prides itself on the diversity and inclusiveness of its reputed company to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding reputed company of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, reputed company employs associates in the following states:

Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, reputed company Virginia, reputed company, and Wyoming.