University of Texas Southwestern Medical Center: Academic medical center providing patient care and medical research.
3+ YOEHigh school diploma, knowledge of anatomy/physiology and medical terminology, NCQA and JCAHO standards, 3+ years credentialing experience, CPCS or CPMSM certification upon hire or within two years.
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
3+ YOE3+ years credentialing experience preferred, familiarity with NCQA standards, NAMSS CPCS preferred/obtainable, high school diploma required, intermediate Google Suites skills, experience with MD Staff database.
UT Southwestern Medical Center: Academic medical center providing healthcare, research, and education.
3+ YOEHigh school diploma or equivalent, 3+ years credentialing experience, knowledge of anatomy/physiology and medical terminology, NCQA and Joint Commission standards, CPCS or CPMSM certification upon hire or within 2 years.
Methodist Health System: Operates hospitals and healthcare clinics across North Texas.
1+ YOEHigh school diploma/GED required; 1+ years credentialing experience; familiarity with MD Staff, Microsoft Excel/Word/Outlook; knowledge of NCQA/URAC/CMS/TDI credentialing standards; CPCS preferred.
MD Staff, Microsoft Excel, Microsoft Word, Microsoft Outlook, Windows
Ohio or Irving or Scottsdale or Woonsocket or Hartford or Northbrook
$83k-$183k/yrHybridFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
7+ YOE2+ Mgmt7+ years Medicare/Medicaid compliance experience (SNP focus), 2+ years project management, knowledge of CMS/NCQA/regulations, audit and corrective action experience, strong analytical and communication skills, bachelor’s or equivalent.
Richardson or Helena or Albuquerque or Tulsa or Chicago or Nashville
$56k-$124k/yrRemoteFull Time
Health Care Service Corporation: Provides health insurance and managed care to millions of members.
4+ YOE4+ MgmtBachelor's in business/medical or 4+ years managed care experience; 4 years leadership and 4 years performing delegated oversight; project management; knowledge of TDI, NCQA, URAC; Word/Excel/PowerPoint/Lotus Notes proficiency; <10% travel.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Lotus Notes, Visio