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Provider Services Credentialing Specialist Job Openings by Central California Alliance for Health in Merced

Central California Alliance for Health Careers 2021 - Central California Alliance for Health present an opportunity to fill Provider Services Credentialing Specialist that will be placed in Merced.

Central California Alliance for Health Recruitment 2021

Detail of : Provider Services Credentialing Specialist Job Openings in Merced

We have an opportunity to join the Alliance as a Credentialing Specialist in the Provider Services Department.
Reporting to the Provider Services Credentialing Supervisor, you will:
Conduct provider credentialing and re-credentialing, including performing Primary Source Verifications
Research and analyze complex credentialing issues and develop and propose solutions
Perform ongoing monitoring of physician license status and state and federal sanctions of contracted and non-contracted providers and conducts related investigations
Experience performing provider credentialing functions, working with credentialing software (eVips preferred), and performing data entry and data analysis
Experience working in a County Organized Health System
To read the full position description, and list of requirements click here
Knowledge of:
Healthcare terminology
Methods and techniques of research, analysis and reporting
Methods and techniques of data entry and data auditing
Basic principles and practices of project management
Managed care concepts
Ability to:
Interpret, explain and apply policies, procedures, laws, regulations and contract language
Identify and troubleshoot issues, gather and analyze information and data, identify alternative solutions and make recommendations for action
Enter, proofread, verify, analyze and audit data, and identify data anomalies
Quickly become familiar with providers and credentialing activities in assigned county
Tolerate regular exposure to information and materials that may include sensitive or disturbing information
Education and Experience:
Bachelor's degree in Business or Public Administration, Public Policy, Health Care or a related field
Minimum of three years of experience performing credentialing, compliance or other regulatory functions in a healthcare or government setting (a Master's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying
While this position is connected to one of our Alliance offices, we are in a fully remote work environment right now due to COVID-19. The interview and on-boarding process will be completed remotely
This position may require onsite presence when our offices re-open, no sooner than September 7, 2021. Onsite presence will most likely be on a part-time basis, but is dependent on business needs
Additionally, all positions at the Alliance are required to meet these minimum qualifications .
Medical, Dental and Vision Plans
Ample Paid Time Off
11 Paid Holidays per year
401(a) Retirement Plan
457 Deferred Compensation Plan
Robust Health and Wellness Program
EV Charging Stations
And many more
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve over 330,000 members in Santa Cruz, Monterey and Merced counties. To learn more about us, click here .
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for sponsorship.

If your qualification is matched with the requirement above, please submit your online application directly through Central California Alliance for Health system at :

Notes :
  • All applications are appreciated and will be treated confidentially.
  • Only short-listed candidates will be contacted.

If you are not interested in Provider Services Credentialing Specialist Merced June 2021 Central California Alliance for Health above, you can try to find your job by read related jobs from another company in Merced below.

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