Privia Health
Sr. Managed Care Coordinator (Credentialing)
Privia Health, Myrtle Point, Oregon, United States, 97458
Employer Industry: Healthcare Technology
Why consider this job opportunity:
Salary up to $65,000.00
Opportunity for annual bonuses targeted at 15%
Comprehensive benefits package including medical, dental, vision, life, and pet insurance, as well as a 401K and paid time off
Strong potential for career growth and professional development within the organization
Supportive work environment that values diversity and inclusion
Flexibility for remote work with reimbursement for home office expenses
What to Expect (Job Responsibilities)
Lead the preparation and submission of comprehensive provider rosters to Managed Medicare, Medicaid, and commercial payers
Audit internal provider data against database records to ensure accuracy before submission
Manage all payer portal uploads and maintain a detailed log of submission dates and confirmation IDs
Serve as the primary point of contact for health plans to resolve roster discrepancies and paneling delays
Analyze provider enrollment timelines and partner with Revenue Cycle Management to resolve billing issues
What is Required (Qualifications)
Minimum of 5 years in healthcare credentialing, provider enrollment, or managed care analysis
Advanced proficiency in Excel, including VLOOKUPs, pivot tables, and data cleaning for large datasets
Familiarity with credentialing databases for data management and reporting
Deep understanding of CAQH, NPI, Availity, and the provider enrollment lifecycle
Experience in Salesforce case management system preferred
How to Stand Out (Preferred Qualifications)
Certification such as CPMSM, CPCS, or CPES through NAMSS
Experience with CredentialStream for credentialing processes
#HealthcareTechnology #Credentialing #CareerGrowth #RemoteWork #DiversityAndInclusion
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
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Salary up to $65,000.00
Opportunity for annual bonuses targeted at 15%
Comprehensive benefits package including medical, dental, vision, life, and pet insurance, as well as a 401K and paid time off
Strong potential for career growth and professional development within the organization
Supportive work environment that values diversity and inclusion
Flexibility for remote work with reimbursement for home office expenses
What to Expect (Job Responsibilities)
Lead the preparation and submission of comprehensive provider rosters to Managed Medicare, Medicaid, and commercial payers
Audit internal provider data against database records to ensure accuracy before submission
Manage all payer portal uploads and maintain a detailed log of submission dates and confirmation IDs
Serve as the primary point of contact for health plans to resolve roster discrepancies and paneling delays
Analyze provider enrollment timelines and partner with Revenue Cycle Management to resolve billing issues
What is Required (Qualifications)
Minimum of 5 years in healthcare credentialing, provider enrollment, or managed care analysis
Advanced proficiency in Excel, including VLOOKUPs, pivot tables, and data cleaning for large datasets
Familiarity with credentialing databases for data management and reporting
Deep understanding of CAQH, NPI, Availity, and the provider enrollment lifecycle
Experience in Salesforce case management system preferred
How to Stand Out (Preferred Qualifications)
Certification such as CPMSM, CPCS, or CPES through NAMSS
Experience with CredentialStream for credentialing processes
#HealthcareTechnology #Credentialing #CareerGrowth #RemoteWork #DiversityAndInclusion
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
#J-18808-Ljbffr