Managed Care Payer Enrollment Coordinator
4 days ago
We are seeking a highly skilled Managed Care/Payer Enrollment Specialist to join our team at Mon Health. This role will be responsible for managing daily activities related to providing operational support for Payer Enrollment, including managing accounting and information systems in support of Managed Care/Payer Enrollment.
Key Responsibilities- Develop and implement strategies for improving levels of reimbursement under managed care agreements
- Manage and maintain accurate and up-to-date information systems related to Payer Enrollment
- Collaborate with Managed Care Organizations to resolve enrollment and administrative escalations
- Develop and guide organizational structure and processes necessary to support managed care agreements
- High school diploma or equivalent required; Bachelor's degree preferred
- One to three years of current provider credentialing experience required
- Previous Hospital Credentialing experience required
- Basic to working knowledge of Centers for Medicaid and Medicare and Managed Care concepts
- Certified Provider Credentialing Specialist (CPCS) certificate preferred or willingness to sit for CPCS within one (1) year of hire
We offer a competitive salary and benefits package to the successful candidate. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.
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Managed Care/Payer Enrollment Coordinator
2 weeks ago
Morgantown, West Virginia, United States Mon Health Full timeJob Summary:The Managed Care/Payer Enrollment Specialist will play a critical role in supporting the operational activities of Payer Enrollment at Mon Health. This position will be responsible for managing accounting and information systems in support of Managed Care/Payer Enrollment, as well as developing strategies to improve reimbursement levels under...
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Payer Enrollment Specialist
2 weeks ago
Morgantown, West Virginia, United States Mon Health Full timeJob Summary:The Managed Care/Payer Enrollment Specialist will play a critical role in supporting the operational activities of Payer Enrollment at Mon Health. This position will be responsible for managing accounting and information systems in support of Managed Care/Payer Enrollment, as well as developing strategies to improve reimbursement levels under...
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Patient Care Coordinator
4 days ago
Morgantown, West Virginia, United States WEST VIRGINIA UNIVERSITY RESEARCH CORPORATION Full timeAbout the OpportunityThe West Virginia University Research Corporation is seeking a highly skilled Patient Navigator to join our team. As a Patient Navigator, you will play a critical role in the management of patients enrolled in the CHOICE study, ensuring seamless coordination across the healthcare system.Key Responsibilities:Establish and maintain close...
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Credentialing Coordinator
1 week ago
Morgantown, West Virginia, United States WVU Medicine Full timeJob SummaryWe are seeking a highly organized and detail-oriented Provider Credentialing Specialist to join our team at WVU Medicine. This role will be responsible for coordinating the credentialing process for all incoming doctors and Advanced Practice Providers (APPs), ensuring compliance with regulatory requirements and maintaining accurate records.Key...
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Nurse Care Coordinator
1 week ago
Morgantown, West Virginia, United States Interim HealthCare Full timeJob Title: Nurse Care CoordinatorAt Interim HealthCare, we are seeking a skilled Nurse Care Coordinator to join our team.Job Summary:We are looking for a highly motivated and organized Nurse Care Coordinator to coordinate the delivery of health services that will impact beneficiaries' health, well-being, and quality of life. The successful candidate will...
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Trauma Care Coordinator
6 days ago
Morgantown, West Virginia, United States WVU Medicine Full timeJob SummaryWe are seeking a highly skilled and experienced Trauma Care Coordinator to join our team at WVU Medicine. As a key member of our trauma care team, you will play a critical role in coordinating trauma care management across the continuum of trauma care.Key ResponsibilitiesCoordinate trauma care management across the continuum of trauma care,...
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Biospecimen Coordinator
4 days ago
Morgantown, West Virginia, United States WEST VIRGINIA UNIVERSITY RESEARCH CORPORATION Full timeAbout the OpportunityWe are seeking a highly skilled and detail-oriented Biospecimen Coordinator to join our team at the West Virginia University Research Corporation. As a key member of our Clinical Research Unit, you will play a critical role in facilitating all aspects of biological specimen requirements for our research projects.Your primary...
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Business Development Manager
2 weeks ago
Morgantown, West Virginia, United States ThinkTank LLC Full timeJob OpportunityThinkTank LLC is seeking a highly motivated and entrepreneurial Business Development Manager to lead our expansion efforts in a designated territory. As the cornerstone of our mission to enhance connectivity, your role will focus on enrolling new customers into essential services, managing inventory, and driving significant sales...
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Ambulatory Operations Manager
1 week ago
Morgantown, West Virginia, United States WVU Medicine Full timeJob SummaryWe are seeking a highly skilled and experienced Project Manager to lead the efforts of Ambulatory Operations at WVU Medicine. The successful candidate will be responsible for managing and coordinating multiple projects that impact ambulatory operations, improving services provided by the Clinical Enterprise in its ambulatory locations.Key...
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Healthcare Access Coordinator
4 weeks ago
Morgantown, West Virginia, United States WVU Full timeHealthcare Access CoordinatorApply locations: WVU Medicine Children's HospitalTime type: Full timeJob requisition id:JRWelcome! We are pleased that you are exploring an opportunity with us. To apply for this position and be considered, please click the Apply button located above this message and complete the application in full. Below, you will find other...
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Nursing Unit Coordinator
2 weeks ago
Morgantown, West Virginia, United States Encompass Health Corp. Full timeAbout the RoleWe are seeking a highly organized and detail-oriented Nursing Unit Coordinator to join our team at Encompass Health Corp.Key Responsibilities:Maintain accurate and complete medical records for patients using a standardized labeling system.Transcribe medical orders and distribute them to relevant disciplines in a timely manner.Provide...
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University Pharmacy Recruitment Coordinator
4 weeks ago
Morgantown, West Virginia, United States West Virginia University Full timeWest Virginia University Health Science Center is seeking applications for a (Hybrid) University Pharmacy Recruitment Coordinator within the School of Pharmacy.About the RoleThis position will report to the Associate Dean for Admissions and Student Affairs and will be pivotal in driving the overall student recruitment and enrollment initiatives for the...
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Patient Care Coordinator
4 weeks ago
Morgantown, West Virginia, United States WVU Medicine Full timeWelcome to an exciting opportunity with us. To apply for this position, please complete the application in full. As a Patient Care Coordinator, you will provide specialized nursing care to designated patient populations, enhancing their overall care experience. Key Responsibilities: Facilitate the care plan and serve as a communication link among healthcare...
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Organ Transplant Care Coordinator
4 weeks ago
Morgantown, West Virginia, United States West Virginia University Hospitals, Inc. Full timePosition Overview:We are pleased to present an opportunity for a dedicated professional to take on the role of Transplant Coordinator I. This position is crucial in managing and delivering specialized nursing care, focusing on patients with advanced organ disease who are candidates for solid organ transplants.Key Responsibilities:The Transplant Coordinator I...
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Emergency Management Coordinator
1 week ago
Morgantown, West Virginia, United States West Virginia University Full timeAbout the OpportunityThe University Police Department at West Virginia University is seeking a highly skilled Emergency Management Coordinator to join our team. As a key member of our emergency management division, you will play a critical role in planning for and responding to emergency events, creating a culture of preparedness, and ensuring the safety and...
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Emergency Management Coordinator
5 hours ago
Morgantown, West Virginia, United States West Virginia University Full timeAbout the OpportunityThe University Police Department at West Virginia University is currently seeking a highly skilled Emergency Management Coordinator to join our team.Job SummaryThe Emergency Management Coordinator will play a critical role in planning for and responding to emergency events, creating a culture of preparedness, and ensuring the safety and...
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Provider Credentialing Coordinator
3 weeks ago
Morgantown, West Virginia, United States WVU Medicine Full timePosition Overview:We are seeking a dedicated individual for the role of Credentialing Coordinator. This position entails overseeing the management of all necessary provider credentials, licenses, degrees, privileges, and certifications during the onboarding of new healthcare professionals. You will collaborate with multiple departments to facilitate a...
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Crisis Management Coordinator
4 weeks ago
Morgantown, West Virginia, United States West Virginia University Full timeJOB TITLE: Crisis Management CoordinatorCOMPANY: West Virginia University Police DepartmentAbout the OpportunityThe Crisis Management Coordinator is essential in strategizing and executing plans for emergency situations, cultivating a proactive environment to ensure the safety and readiness of both staff and students in their academic and residential...
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Crisis Management Coordinator
3 weeks ago
Morgantown, West Virginia, United States West Virginia University Full timeJOB TITLE: Crisis Management CoordinatorCOMPANY: West Virginia University Police DepartmentAbout the OpportunityThe Crisis Management Coordinator is essential in strategizing and executing plans for emergency situations, promoting a proactive culture of preparedness to safeguard the well-being of staff and students in their academic and residential settings....
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Crisis Management Coordinator
3 weeks ago
Morgantown, West Virginia, United States West Virginia University Full timeJOB TITLE: Crisis Management CoordinatorCOMPANY: West Virginia University Police DepartmentAbout the RoleThe Crisis Management Coordinator is essential in developing strategies for emergency preparedness and response, promoting a proactive culture to safeguard the well-being of faculty, staff, and students within their academic and residential settings. The...