Healthfirst
1001 - 5000 employees
Founded 1993
🛡️ Insurance
🏥 Healthcare
⚕️ Healthcare Insurance
Insurance • Healthcare • Healthcare Insurance
Healthfirst is a health insurance provider dedicated to helping New Yorkers access affordable health coverage for individuals and families. With over 30 years of experience, Healthfirst offers a range of plans including Medicaid managed care, Medicare Advantage, long-term care, and essential health plans. The company focuses on providing quality healthcare options, comprehensive benefits, and support to ensure members can maintain their health and well-being.
Temporary Senior Facility Credentialing Specialist
🔥 23 hours ago
⚜️ Louisiana, Maine, +10 more states – Remote
⏰ Full Time
🟠 Senior
🦅 H1B Visa Sponsor
👻 Ghost score 10%
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Healthfirst
1001 - 5000 employees
Founded 1993
🛡️ Insurance
🏥 Healthcare
⚕️ Healthcare Insurance
Insurance • Healthcare • Healthcare Insurance
Healthfirst is a health insurance provider dedicated to helping New Yorkers access affordable health coverage for individuals and families. With over 30 years of experience, Healthfirst offers a range of plans including Medicaid managed care, Medicare Advantage, long-term care, and essential health plans. The company focuses on providing quality healthcare options, comprehensive benefits, and support to ensure members can maintain their health and well-being.
📋 Description
• Credential and re-credential providers, facilities, and vendors in accordance with regulations and Healthfirst policy • Prepare presentations for quarterly credentialing and delegate vendor oversight committee meetings • Facilitate pre-delegation and delegation vendor audits to ensure adherence to contractual arrangements • Prepare hard-copy directories and work with third-party vendors for posting online directories • Review relevant provider data to ensure accuracy • Communicate effectively with internal departments and external partners • Identify and assess process improvement opportunities to ensure regulatory compliance and adherence to state and federal regulations • Raise issues to management and assist in resolution • Perform additional duties as assigned
🎯 Requirements
• HS diploma/GED • Facility credentialing • Time and project management, critical/creative thinking, communication, and problem-solving skills • Intermediate Microsoft software skills, including Adobe, Access, Excel, Word, PowerPoint, and Office
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