289 Credentialing Jobs - Page 2

As a Travel RN /Allied Recruiter, you will be responsible for sourcing, screening, and placing allied healthcare professionals into temporary travel assignments at hospitals, clinics, and other medical facilities across the country. You will build strong relationships with candidates and guide them through the placement process, ensuring a positive experience for both the client and the healthcare professional. Key Responsibilities: Proactively source Travel RN /Allied Recruiter candidates through job boards, databases, social media, and referrals. Conduct phone screens and interviews to assess candidate qualifications, preferences, and availability. Match candidates to appropriate travel assignments based on skillset, licensure, and facility needs. Guide candidates through the onboarding process, including licensure, credentialing, housing, and travel arrangements. Maintain regular communication with candidates throughout their assignments to ensure satisfaction and retention. Meet or exceed recruitment metrics and placement goals set by the agency. Collaborate with account managers and clients to understand open positions and staffing needs. Manage applicant tracking systems (ATS) and maintain accurate records and documentation. Qualifications: Associate or Bachelor's degree preferred. Prior experience in healthcare recruiting, staffing, or sales is highly desirable. Strong interpersonal and communication skills. Ability to multitask and manage a high volume of requisitions and candidates. Detail-oriented with excellent organizational skills. Proficiency in Microsoft Office and applicant tracking systems. Self-motivated and goal-oriented mindset. Preferred Skills: Familiarity with allied health roles and credentialing requirements. Knowledge of travel healthcare logistics, such as licensing and housing. CRM or ATS experience (e.g., Nexus, Jobdiva, Bullhorn, Avionté). Job Type: Full-time Pay: ₹15,000.00 - ₹45,000.00 per month Schedule: Night shift US shift Work Location: In person

Location: Chandigarh and Punjab Key Responsibilities: Customer Focus and Coverage Imbibe the product related features/benefits including scientific information thereto, so as to effectively communicate with the medical doctors and handle product related customer queries. Actively participate in identifying key and potential medical practitioners and specialists in the respective therapeutic segment in the assigned territory, and prioritize for the purpose of systematic customer coverage so as to generate maximum prescription sales for the company’s range of products as per business plan. Efficiently manage the therapy area by effectively reaching out to customers. Schedule and plan the frequency of calls and personally visit the targeted doctors as per agreed coverage list. Call on the Chemists, wholesalers as the case may be to track in-market sales of the products, booking of orders to ensure timely and adequate availability of products to meet market demand. Utilize customer focused selling techniques (CSSP), continually assessing the knowledge of the customer and strategize to maintain high customer confidence and customer knowledge of company products. Maintain current, approved protocol (CSSP) and promotional materials to be included in sales presentation/ detailing. Contact customers on regular basis and deliver informative sales presentations based on customers need. Explore opportunities to develop new business in the assigned therapy area. Sales Performance & Results Achieve and exceed the sales targets on a consistent basis through effective implementation of the sales promotion strategies and scientific initiatives. Constantly update the knowledge of disease and product area so as to facilitate scientific discussion with stakeholders to enhance productivity levels as expected by the Company. Carry out Product Visibility and such ancillary or incidental activities related to the Products of the Company or Products of any other Company as may be decided from time to time, in accordance with any arrangement or agreement entered into by the Company with such other Company. Explore opportunities to develop new business avenues for assigned therapy area and territory. Planning & Sales Performance Management Tactically plans to generate tertiary demand generation. Plans and executes field working as per approved tour programmes and reports into data management system at regular intervals as per company expectations. Takes follow-up initiatives on feedback and customer service requirements. Handles special product campaigns, new product launch campaigns as per Company’s plans. Covers the Nursing homes, clinics and hospitals as per agreed coverage requirements. Collects data on annual budget for medicines, mode of purchase, rate contract/tendering etc. as may be required and takes initiatives to tap these business growth avenues. Assists in the collection of receivables, as per company policy. Communication Meets Actively participate in Cycle meetings, periodic Sales & Marketing meeting and conventions. Conducts group meetings, medical education camps, speaker programmes as may be necessary from time to time. Company, Industry & Product Knowledge Demonstrate above average knowledge of all company marketed products, disease, therapy area, competitor products, promotional strategies and objectives. Develops a clear understanding of the Company’s SOPS and protocols pertaining to his area of work. Imbibes the guidelines pertaining to Adverse Event Reporting and takes prompt action in compliance with the requirements. Market Analysis Maintain quality customer list, current profile of assigned key accounts, key influencers & clinical thought leaders. Execute Marketing Strategies in consonance with marketing guidelines. Collect Market intelligence, conduct market surveys, participate in special projects etc. Actively seek and display knowledge of key customers in the territory and therapy area. Building Relations Develop and maintain strong relationships with customers and build up a healthy rapport with them. Work collectively with other team colleagues in arranging speakers, displays, special programs and CMEs to meet the educational needs of customers. Distribution & Resource Allocation Ensure adequate inventory level with trade partner and take prompt actions to prevent date expiry of products. Use/Adherence to Internal tolls & Processes/ Administration Values Ensure timely submission of daily call report, sales documents, feedback reports, expense reports and other administrative duties are completed in an accurate and timely manner. Secondary Job Description Who We Are: Organon delivers ingenious health solutions that enable people to live their best lives. We are a $6.5 billion global healthcare company focused on making a world of difference for women, their families and the communities they care for. We have an important portfolio and are growing it by investing in the unmet needs of Women’s Health, expanding access to leading biosimilars and touching lives with a diverse and trusted portfolio of health solutions. Our Vision is clear: A better and healthier every day for every woman. As an equal opportunity employer, we welcome applications from candidates with a diverse background. We are committed to creating an inclusive environment for all our applicants. Search Firm Representatives Please Read Carefully Organon LLC, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails. Annualized Salary Range Annualized Salary Range (Global) Annualized Salary Range (Canada) Please Note: Pay ranges are specific to local market and therefore vary from country to country. Employee Status: Regular Relocation: No relocation VISA Sponsorship: No Travel Requirements: Organon employees must be able to satisfy all applicable travel and credentialing requirements, including associated vaccination prerequisites No Travel Required Flexible Work Arrangements: Not Specified Shift: Valid Driving License: Hazardous Material(s): Number of Openings: 1 Requisition ID: R533984

Job Title: Onboarding Specialist (HR) Location: Onsite – Jayadev Vihar, Bhubaneswar, Odisha Shift: Night Shift (US Time Zone) Experience Required: Minimum 1 year in Healthcare domain (US Staffing) Job Description: We are looking for a detail-oriented and proactive Onboarding Specialist (HR) to join our HR team. The ideal candidate must have a minimum of 1 year of experience in the Healthcare domain within US Staffing . You will be responsible for ensuring a smooth and compliant onboarding process for new hires, especially healthcare professionals, while maintaining a strong candidate experience. Key Responsibilities: Coordinate and manage end-to-end onboarding processes for healthcare professionals placed with US clients Collect and verify all pre-employment documents, including specific healthcare-related background checks, licenses, certifications, etc. Ensure compliance with US healthcare staffing regulations and client-specific requirements Communicate regularly with recruiters, candidates, and client managers to facilitate timely onboarding Track onboarding status and maintain accurate records in internal HR systems Conduct onboarding orientations and support candidates with questions related to onboarding paperwork Liaise with credentialing and compliance teams to ensure all hiring standards are met Provide regular updates to HR and account managers on onboarding progress Requirements: Minimum 1 year of experience in US Staffing (Healthcare domain preferred) Strong understanding of onboarding processes and US employment documentation Excellent communication and organizational skills Attention to detail and ability to handle confidential information Proficiency in MS Office and applicant tracking systems (ATS) Willingness to work onsite in Bhubaneswar and in night shift Job Type: Full-time Pay: From ₹15,000.00 per month Schedule: Night shift US shift Work Location: In person

Title: Blockchain Architect – Healthcare Data Platforms Experience: 8+ Years Position Summary: We are seeking a highly experienced Blockchain Architect with deep expertise in Hyperledger Fabric and exposure to other enterprise blockchain platforms to lead the design and development of a secure, privacy-preserving healthcare data sharing platform. This role will drive innovation in interoperability, consent management, and data security in a complex, multi-stakeholder healthcare ecosystem. The ideal candidate will have hands-on experience with various blockchain frameworks (e.g., Ethereum, Corda, Quorum), smart contract development, and integration with cloud-native and on-premise healthcare infrastructure. 🎯 Key Responsibilities - Architect decentralized solutions for healthcare data sharing using Hyperledger Fabric and other blockchain platforms as needed. - Lead the development of chaincode / smart contracts for consent, access control, auditability, and data provenance. - Design network architecture: peers, orderers, channels, Certificate Authorities, private data collections, etc. - Define data governance and privacy strategies leveraging Fabric's features (channels, ACLs, encryption, and endorsement policies). - Integrate blockchain solutions with EHR/EMR systems (e.g., Epic, Cerner) and healthcare APIs (e.g., FHIR, HL7). - Evaluate use of Ethereum, Quorum, Corda, or Polygon for specific decentralized use cases. - Ensure system-level compliance with HIPAA, GDPR, and regional health regulations through secure smart contract logic. - Guide the implementation of permissioned vs permissionless network components based on stakeholder needs. - Create and maintain technical architecture diagrams, specifications, and operational runbooks. - Act as a blockchain SME internally and externally, contributing to strategic decisions and innovation roadmaps. 🛠️ Required Skills & Experience - 8+ years in software or solution architecture, with at least 2 years of hands-on experience with Hyperledger Fabric. - Solid experience with blockchain fundamentals: consensus, smart contracts, DIDs, tokens, PKI, and distributed ledgers. - Proficiency in Go and/or Node.js for Fabric chaincode; knowledge of Solidity or Kotlin for Ethereum or Corda is a plus. - Proven track record designing and deploying enterprise blockchain networks in production. - Understanding of healthcare interoperability standards (FHIR, HL7) and healthcare data workflows. - Experience with Docker, Kubernetes, CI/CD, and infrastructure automation (e.g., Terraform, Helm). - Practical understanding of cryptography, key management, secure storage, and zero-trust access models. - Strong documentation, communication, and stakeholder engagement skills. ✅ Preferred Qualifications - Hands-on experience with multiple blockchain platforms: Ethereum, Corda, Quorum, Polygon, Hedera, or Avalanche. - Prior experience developing consent frameworks, patient identity solutions, or provider credentialing on blockchain. - Experience contributing to Hyperledger, Ethereum, or other blockchain open-source projects. - Familiarity with Web3 tools (e.g., Truffle, Hardhat, Remix, Infura, MetaMask) and identity frameworks (e.g., DID, SSI). - Exposure to cloud platforms (AWS, Azure, GCP) for deploying decentralized infrastructure. - Certifications in blockchain technologies (e.g., Certified Blockchain Architect, Hyperledger Certified Developer). You can connect to me over 9978369136 or you can email me at hr@squadrontechnology.com Show more Show less

About Certify: At CertifyOS, we're building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative. Our platform is the ultimate source of truth for provider data, offering unparalleled ease and trust while making data easily accessible and actionable for the entire healthcare ecosystem. What sets us apart? Our cutting-edge, API-first, UI-agnostic, end-to-end provider network management platform automates licensing, enrollment, credentialing, and network monitoring like never before. With direct integrations into hundreds of primary sources, we have an unbeatable advantage in enhancing visibility into the entire provider network management process. Plus, our team brings over 25+ years of combined experience building provider data systems at Oscar Health, and we're backed by top-tier VC firms who share our bold vision of creating a one-of-a-kind healthcare cloud that eliminates friction surrounding provider data. But it's not just about the technology; it's about the people behind it. At Certify, we foster a meritocratic environment where every voice is heard, valued, and celebrated. We're founded on the principles of trust, transparency, and accountability, and we're not afraid to challenge the status quo at every turn. We're looking for purpose-driven individuals like you to join us on this exhilarating ride as we redefine healthcare data infrastructure. ABOUT THE ROLE: As CertifyOS scales, we’re looking to bring on board a Chief of Staff to elevate our executive team and the overall company – someone who combines best-in-class leadership with data-driven decision making and a relentless desire to help the company succeed. This individual will put on a masterclass in influence without authority, partnering with the CEO and full executive team on the most important decisions and projects impacting Certify. WHAT YOU’LL DO: Spearhead Strategic Initiatives There will often be white-space in our org structure that you’ll fill in on a temporary basis to drive forward a strategic initiative This could include scoping and driving forward a new opportunity (e.g. M&A, partnership), filling in when there’s a key leadership gap and leading a team, or driving forward critical hiring processes Act as a Force Multiplier for the CEO & Executive Team You will be involved in all of the most important meetings at the company, serving alongside the CEO and executive team to make decisions and drive forward execution Your role will be both as an organizer – preparing and refining strategic decisions, taking notes and follow-up actions, etc. – and as a thought partner. The expectation is that you will actively contribute to the course of action the company takes You will be a node between the executive team and the rest of the company, regularly meeting with cross-functional leaders to understand what merits the attention of the executive team and bringing problems + decisions that will accelerate progress Drive Cross-Functional Alignment and Improve Operational Excellence At Certify, we use OKRs; you will take over our existing OKR processes, constantly evaluate them for efficacy, and improve them. If you haven’t read Measure What Matters, that will be a month 1 requirement You’ll take note of what’s working and what isn’t in how teams collaborate and improve internal processes to improve coordination You’ll always have your finger on the pulse of what each department is prioritizing and ensuring it’s aligned with the most important objectives for the company Manage Internal & External Communications You’ll be involved in several forms of executive communication, ranging from board deck preparation, to investor updates, to leading preparation for our monthly All Hands meeting You’ll clearly translate the company strategy into clear, digestible messaging for the broader team WHAT YOU’LL NEED: Exceptional communication skills, both verbal and written. You know how to distill complexity into bite-sized simplicity for conveying to the full organization Strong analytical skills to diagnose problems, pull and analyze your own data, interpret it, and develop strategic solutions based on it You have to be a jedi in organization skills, with the ability to manage multiple projects simultaneously, setting priorities and ultimately meeting deadlines Collaboration excellence. You thrive when you’re building and maintaining relationships across all levels of the organization, facilitating collaboration and alignment across individuals and teams A desire to work in a fast-paced environment where you’ll need to be scrappy to get things done The flexibility and adaptability to navigate a fast-paced, constantly changing environment, who embraces change when it’s needed At your core, you’re a problem solver. You have a proven ability to identify issues, understand their root causes, and ultimately solve issues, whether independently or by corralling a large group At Certify, we're committed to creating an inclusive workplace where everyone feels valued and supported. As an equal opportunity employer, we celebrate diversity and warmly invite applicants from all backgrounds to join our vibrant community. Show more Show less

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview The Clinical Coding Policy Analyst is a subject matter expert that clinically reviews claims within the Clinical Coding Policy queues and is responsible for maintaining up-to-date clinical guidelines for review of these claims. The Clinical Coding Policy Analyst is also responsible for reviewing the disputes from providers for the edits that were accepted in this queue. This will include analysis and research of specific coding scenarios as well as assisting in edit ideation and maintaining review guidelines. Essential Functions Provide in-depth clinical coding analysis of professional and facility claims routed to the Clinical Coding Policy queue based on new or updated edit logic. Works well with a team. Provide in-depth research on Coding Scenarios. Communication and a team-work approach. Identify and provide root-cause analysis of edit performance issues. Advise leadership if edits are working as intended and support decision with validation data. Assist in creating and maintaining job aides aimed at promoting consistency in clinical validations and claims workflow process improvements. Assist in the submission of IT requests associated with validations and the enhancement of reports/tools needed to maximize results. Maintain current industry knowledge of claim edit references including, but not limited to: AMA, CMS, NCCI. Assists in the documentation of updated process, guidelines for review, enhancements, and automation. Work closely with leadership in departmental functions and special projects. Work closely with the resolution analysts. Job Requirements 2+ years of relevant experience or equivalent combination of education & work within healthcare payers/claims payment processing Certified Coder (CCS, CCS-P or CPC) RN, LPN or LVN preferred but not required Ability to interpret claim edit rules and references Solid understanding of claims workflow and the ability to interpret professional and facility claim forms Knowledge of payer reimbursement policies, state and federal regulations and applicable industry standards Ability to apply industry coding guidelines to claim processes Strong understanding of Clinical Policy interpretation required Ability to perform audits of claims processes and apply root-cause Ability to manipulate data in Excel Experience managing business relationships Excellent verbal & written communication skills 1+ years of experience in review of Medical Records and application of NCCI editing Education RN or LPN, Bachelor’s Degree preferred Current, active CPC or equivalent credentialing required Show more Show less

Career Opportunity – Credentialing Specialist – Primary Source Verification (PSV) at InteliX Systems Job Summary We are seeking a detail-oriented and experienced Credentialing Specialist/Co-Ordinator to join our team, with a primary focus on Primary Source Verification (PSV) . The ideal candidate will be responsible for verifying the credentials and qualifications of healthcare providers to ensure compliance with industry standards, regulatory bodies, and internal policies. This role is critical in maintaining the integrity and accuracy of our credentialing process. Location: KPHB, Hyderabad Shift: 6.30 PM – 3.30 AM IST Role & Responsibilities Perform Primary Source Verification (PSV) for provider credentials including, but not limited to: * Medical education * Residency and fellowship training * State licensure * Board certification * Work history and malpractice history Verify credentials in accordance with applicable regulatory standards such as NCQA, URAC, JCAHO, and internal policies. Contact medical schools, licensing boards, hospitals, and other institutions to obtain and validate provider information. Accurately document all communications, verification outcomes, and any follow-up actions required. Maintain and update provider records in the credentialing database (e.g., CAQH, MD-Staff, Ceipal). Collaborate with the credentialing team and other departments to resolve discrepancies and ensure timely processing. Assist in audits and internal reviews by preparing credentialing documentation as needed. Stay informed about changes in credentialing standards and regulations. Preferred Qualifications Experience working with hospitals, health plans, or credentialing verification organizations (CVOs). Required Qualifications Minimum 4–5 years of experience in credentialing, preferably in a healthcare or managed care environment. Strong working knowledge of Primary Source Verification (PSV) processes and regulatory standards (NCQA, URAC, JCAHO). Experience with credentialing databases and systems (e.g., CAQH, MD-Staff, Echo, Ceipal). Excellent attention to detail and accuracy. Strong organizational, communication, and time management skills. Ability to work independently in a fast-paced environment and handle confidential information with discretion. What we offer A competitive salary and benefits package. Opportunities for professional growth and career advancement. A dynamic and supportive work environment. The chance to work on exciting projects that make a difference. 📍Location: InteliX Systems, Hyderabad 📩Apply Now: Send your resume to swathi.kolisetty@intelixsys.com 📞Contact: 6301535020 Show more Show less

Job Title: Full Stack Engineer Location: Remote in India (EST Time Zone) Employment Type: Full-Time Department: Engineering Reports To: Director of Technology / Lead Engineer About the Role We are seeking skilled and self-motivated Full Stack Software Developers to join our fast-growing, fully remote engineering team. This is an exciting opportunity to be part of a mission-driven startup that is transforming how caregivers and administrators connect through modern scheduling, credentialing, and communication solutions. As part of a distributed team, you’ll be developing core features of our platform using cutting-edge Microsoft technologies in a high-impact, agile environment. The ideal candidate is passionate about delivering elegant, scalable solutions and thrives in a fast-paced, collaborative setting. Key Responsibilities Develop, test, and deploy features using Blazor , ASP.NET Core Web API , and .NET MAUI Build and maintain hybrid mobile applications for both iOS and Android platforms Work with Azure SQL Server and Dapper for data access Design secure and scalable solutions using Azure App Services , Azure Functions , and Service Bus Implement AI-driven features involving NLP , automation , and predictive analytics Integrate third-party services including Stripe , Checkr , and Plivo Collaborate closely with UI/UX designers using SyncFusion and Bootstrap Manage and support notification systems via Azure Push Notifications , AWS SMTP , and SMS gateways Participate in agile sprint planning , code reviews, and team discussions Required Qualifications Minimum 3 years of professional software development experience Proficiency in C# , .NET Core , and ASP.NET Core Hands-on experience with Blazor (Server or WebAssembly) Experience with .NET MAUI or other cross-platform mobile frameworks Working knowledge of AI/ML technologies , such as OpenAI , Azure AI , or NLP libraries Solid understanding of REST APIs , SQL , and cloud architecture (preferably Azure) Comfortable working independently in a remote, asynchronous team environment Preferred Qualifications (Nice to Have) Familiarity with Azure AI Services , OpenAI API , or custom ML model deployment Experience with Dapper , Azure Maps , and SyncFusion Understanding of CI/CD pipelines and DevOps workflows on Azure Background in healthcare tech , workforce scheduling , or gig-economy platforms Why Join Us? Work remotely in a flexible, async-friendly environment Be part of a purpose-driven team building real-world solutions that make a difference Opportunity to work with modern technologies and cloud-native architecture Collaborative team culture with room to grow, learn, and lead Show more Show less

We are hiring for a Business Development Executive at medtigo. Location- Remote We are seeking a motivated and results-driven Business Development Executive to promote and sell our medical licensing services to healthcare professionals and institutions in the United States. This person will play a key role in expanding the journal’s academic presence by actively reaching out to medical professionals, researchers, and subject-matter experts. They will be responsible for identifying and engaging potential authors, onboarding peer reviewers, and fostering strategic partnerships to enhance content quality and journal visibility. The ideal candidate will have a strong understanding of the healthcare industry, a consultative sales approach, and experience in selling services. Key Responsibilities for Licensing: Identify, qualify, and convert leads into paying clients—primarily physicians, nurse practitioners, physician assistants, and healthcare administrators. Promote and sell medical licensing and related services via outbound calls, email campaigns, LinkedIn outreach, and virtual presentations. Understand client needs and recommend tailored service packages that solve their licensing pain points. Manage the complete sales cycle from prospecting to closing, ensuring high levels of customer satisfaction and retention. Collaborate with the operations and customer success teams to ensure a seamless client onboarding process. Maintain and update CRM with accurate lead and sales data. Achieve and exceed monthly/quarterly sales targets. Keep current with licensing regulations, healthcare compliance trends, and competitor offerings in various U.S. states. Key Responsibilities for medtigo Journal: · Identify and contact qualified medical professionals, researchers, and academics to contribute as authors or peer reviewers. · Develop and manage relationships with institutions, medical associations, and academic networks. · Collaborate with the editorial team to understand publishing needs and align outreach efforts accordingly. · Assist in onboarding new peer reviewers and guiding authors through the submission process. · Track outreach metrics, lead conversion, and maintain accurate records in CRM tools. · Represent the journal at virtual or in-person academic events, webinars, and networking sessions. · Support marketing initiatives to promote published articles and journal issues. · Conduct market research to identify trends and opportunities in medical publishing. Requirements: Bachelor’s degree in Business, Marketing, Healthcare Administration, or a related field. Excellent American-English written and verbal communication skills Excellent interpersonal skills with the ability to function as a member of a team 3+ years of experience in sales, preferably in healthcare, staffing, credentialing, or professional services. Strong understanding of U.S. medical licensing and healthcare credentialing Proven track record of meeting or exceeding sales quotas. Excellent communication, negotiation, and interpersonal skills. Ability to work independently and manage a pipeline of leads in a remote setup. Proficiency with CRM tools Show more Show less

1.Demonstrated high performance and competence in all clinical aspects of dentistry with sound clinical reasoning, advanced problem solving skills and extensive experience with the management of complex patient presentations. 2.Ability to provide a highly advanced range of efficient dental services, rarely requiring support or advice from more Senior Clinicians. 3.Ability to provide advice to Junior Dental Practitioners, interns and the team. 4.Manage patient complaints, establish (where required) and maintain clinical guidelines, and policies. 5.Participate and lead quality and safety initiatives as well as audit and reporting requirements as indicated 6.Ensure all clinical staff are up to date with credentialing requirements and periodical audit and report on Clinician scope of practice. 7.Development and leadership of processes to improve the quality of care, improve and minimize risks, fostering an environment of excellence in care for patients and to safeguard high standards of care. 8.Ensuring all safety and mandatory reporting requirements are completed including child safety and protection matters and vulnerable populations. 9.Manage and assist resolution of clinical complaints. 10.Manage and process patient records in accordance with the Clinical Record process and policy. 11.Provide leadership and direction for the daily clinical management of the Dental Service. 12.High level written and verbal communication skills, supervisory and mentoring skills, ability to undertake staff reviews. 13.Undertake duties in a professional manner, including responding to enquiries, displaying and encompassing the values associated and act as a role model within the dental team. - Co-chair and actively participate in team meetings and other meetings as required. 14. Demonstrated high performance and competence in all clinical aspects of dentistry with sound clinical reasoning, advanced problem solving skills and extensive experience with the management of complex patient presentations. 15. Previous senior dental clinical leadership experience with knowledge and commitment to public dentistry principles and the value based model of care. 16.High level interpersonal, verbal and written communication and engagement skills and the demonstrated ability to work effectively within a multidisciplinary team. 17.Proven ability to practice, promote and lead systems that support clinical governance and demonstrated experience in the application of quality improvement activities, including clinical review, incident management and clinical audits. Job Types: Full-time, Permanent, Volunteer Benefits: Health insurance Paid time off Schedule: Day shift Evening shift Morning shift Night shift Rotational shift Supplemental Pay: Overtime pay Performance bonus Yearly bonus Ability to commute/relocate: SECTOR-21B, Chandigarh, Chandigarh: Reliably commute or planning to relocate before starting work (Required) Experience: total work: 2 years (Preferred)

💼 Job Role: Credentialing Specialist 📍 Location: Ahmedabad (On-site)(Hybrid- US Shift) 📩 Apply at: hr@collabglobus.com 🕐 Experience: 0 to 2 years 🗣️ Freshers with Good English Communication Skills are Welcome to Apply! Key Responsibilities: Manage provider enrollment and credentialing processes with insurance companies Maintain accurate and up-to-date provider documentation Ensure compliance with credentialing regulations and timelines Coordinate with healthcare providers and payers to resolve any discrepancies Update internal systems and trackers for credentialing statuses Preferred Skills: Good verbal and written communication in English Detail-oriented and organized Knowledge of US Healthcare , RCM , Medical Billing , or Accounts Receivable (AR) is a plus Familiarity with insurance portals and provider credentialing workflows is an added advantage Who Can Apply? ✅ Fresh graduates with strong English communication ✅ Professionals from RCM, US Healthcare AR, Medical Billing, AR Specialist background looking to transition into Credentialing ✅ Candidates based in Ahmedabad or willing to relocate 📩 Send your resume to hr@collabglobus.com Credentialing Specialist , RCM Specialist , Revenue Cycle Management , US Healthcare AR , AR Specialist , Medical Billing , US Healthcare Show more Show less

Company Overview: DirectShifts is a pioneering healthcare staffing platform dedicated to connecting clinicians directly with healthcare institutions for short-term clinical work, including locum tenens positions, using an AI-based platform. We are a team of physicians, entrepreneurs, and problem solvers who have come together to solve major pain points facing medical professionals today. Our mission is to modernize healthcare recruiting by eliminating intermediaries, ensuring transparency, and empowering healthcare professionals. Backed by esteemed investors such as Y Combinator and Serent Capital, we proudly serve clients like Walmart Health, Mount Sinai Health System, BetterHelp, and Headway. DirectShifts is headquartered in New York, NY, and our team is spread across the US and India. Role Summary: We are seeking a full-time Licensing Specialist with at least 1 year of experience in handling licensing applications for U.S. healthcare professionals . You’ll be responsible for managing end-to-end license applications for: MDs Advanced Practice Providers (NPs and PAs) Licensed Therapists (LCSW, LMHC, LMFT, LPCC, Psychologists) Registered Nurses (RNs) This role is entirely Remote, and candidates must be comfortable working from 6 PM to 3 AM IST to align with U.S. business hours. Key Responsibilities: Prepare, submit, and manage licensure applications for clinicians across multiple U.S. states Stay up-to-date with state board requirements and application processes for all clinician types Communicate with state licensing boards, educational institutions, and verification bodies Track application progress and ensure timely follow-ups and completion Work closely with clinicians to gather required documents and guide them through the process Maintain accurate records and update licensing dashboards and tools What We’re Looking For: Minimum 1 year of direct experience in U.S. healthcare licensing Strong knowledge of licensing processes for MDs, NPs, PAs, RNs, and behavioral health professionals Highly organized and detail-oriented with strong follow-up skills Excellent communication and client management skills Comfortable using Google Workspace, tracking tools (like Trello or Airtable), and internal platforms A self-starter who can work independently and handle multiple applications at once Nice to Have: Prior experience in a staffing, credentialing, or telehealth environment Familiarity with licensing in all 50 states Why Join DirectShifts? Opportunities for professional development and growth. A collaborative and supportive work environment. Yearly off-sites to connect with the team in person. The chance to make a meaningful impact in the healthcare industry. Paid time off to maintain a work-life balance. Show more Show less

Vanderbilt University: School of Nursing Location Nashville Open Date Jun 10, 2025 Description The Vanderbilt School of Nursing seeks qualified applicants for a full-time faculty position to serve as the Accredited Provider Program Director (APPD) for Vanderbilt School of Nursing Accreditation Process. Working closely with VUSN Faculty and others, the Nurse Educator for Professional Development will design, plan, implement, and evaluate Nursing Continuing Professional Development (NCPD) activities in compliance with American Nurses Credentialing Center (ANCC) guidelines. Additionally, the Nurse Educator for Professional Development will Educate Faculty on ANCC NCPD Criteria and Standards for Integrity and Independence in Accredited Continuing Education. Key Functions And Expected Performance Represent Vanderbilt School of Nursing as the AAPD and in all ANCC-NCPD related activities. Serve as Nurse Planner and collaborate with faculty and stakeholders to assess professional practice gaps, design, implement, and evaluate NCPD activities in compliance with ANCC guidelines. Lead the ANCC-NCPD reaccreditation process. Establish and guide advisory and planning committees. Ensure compliance with financial disclosure requirements, maintain content integrity, and promote active learner engagement. Use summative evaluation data to inform and improve future programming. Maintain comprehensive records of planning processes, disclosures, evaluations, and outcomes as required by ANCC. Collaborate with internal and external stakeholders to interpret ANCC standards, apply evolving accreditation expectations, and guide continuous quality improvement initiatives across the NCPD program. This is a 12-month, renewable, non-tenure-track appointment. Salary and rank are commensurate with experience. Full-time faculty must maintain residency in the state or be willing to relocate to Tennessee for regular, on-campus engagement in VUSN activities. Qualifications A master’s degree in nursing is required and will be ranked at the instructor level; a doctoral degree in nursing is required for rank at the assistant professor level or higher An active, unencumbered license as a registered nurse or advanced practice nurse in Tennessee or eligibility to obtain licensure in Tennessee Prior experience working with diverse populations 3+ years of previous experience in a similar role Experience with ANCC-accredited NCPD programs Experience in Educational Design and Evaluation Ability to work with others at all levels across an organization and beyond Application Instructions Applicants for the faculty position should initially submit a cover letter and either a resume or a curriculum vitae. The cover letter should summarize your qualifications for the position. For questions related to the posting, please email vusnfacultyrecruitment@vanderbilt.edu. Show more Show less

We Are Hiring || AR Callers ( RCM US Healthcare ) || Experience :- Min 1 year of exp in AR Calling (US Health Care) into Denial Management Package :- Up to 50K Take home Locations :- Hyderabad , Banglore. Qualification :- Graduation. Perks and Benefits: 1. 2 way cab 2. Incentives and Allowances Notice Period :- Preferred Immediate Joiners ( Serving Notice period Candidates are also Eligible ) *Work From Office* Interested candidates can share your updated resume to HR Vaishnavi- 7386370056(share resume via WhatsApp ) Refer your friend's / Colleagues

Quantuspro Solutions is seeking a candidate with good analytical skills with understanding of US Health care/ Revenue Cycle Management/Accounts Receivables/ Claims processing. **EXCELLENT COMMUNICATION SKILLS IN ENGLISH IS VERY IMPORTANT** ** FRESHERS ARE WELCOME ** Job Description: - US Healthcare / Dental Billing Process - Accounts Receivables Calls - Denials and Appeals Management - End to End Billing Cycle Management - Posting Payments - Knowledge of Provider Credentialing - Knowledge of Insurance Eligibility verification - Knowledge in Dental Billing is a Plus - Excellent Communication Skills - Must be flexible to work in Day / Night Shifts - Good Typing Speed - Must be willing to work in Voice / Non-voice process Day Shift timings: 9 AM to 6 PM (IST) Night Shift timings: 8: 30 PM to 5: 30 AM (IST) FRESHERS ARE WELCOME ** Candidates with no experience but excellent communication, analytical skills, computer skills may also apply for this position. For further details please contact 7801017313/04035683890 Regards, HR Team Quantuspro Solutions

1.Demonstrated high performance and competence in all clinical aspects of dentistry with sound clinical reasoning, advanced problem solving skills and extensive experience with the management of complex patient presentations. 2.Ability to provide a highly advanced range of efficient dental services, rarely requiring support or advice from more Senior Clinicians. 3.Ability to provide advice to Junior Dental Practitioners, interns and the team. 4.Manage patient complaints, establish (where required) and maintain clinical guidelines, and policies. 5.Participate and lead quality and safety initiatives as well as audit and reporting requirements as indicated 6.Ensure all clinical staff are up to date with credentialing requirements and periodical audit and report on Clinician scope of practice. 7.Development and leadership of processes to improve the quality of care, improve and minimize risks, fostering an environment of excellence in care for patients and to safeguard high standards of care. 8.Ensuring all safety and mandatory reporting requirements are completed including child safety and protection matters and vulnerable populations. 9.Manage and assist resolution of clinical complaints. 10.Manage and process patient records in accordance with the Clinical Record process and policy. 11.Provide leadership and direction for the daily clinical management of the Dental Service. 12.High level written and verbal communication skills, supervisory and mentoring skills, ability to undertake staff reviews. 13.Undertake duties in a professional manner, including responding to enquiries, displaying and encompassing the values associated and act as a role model within the dental team. - Co-chair and actively participate in team meetings and other meetings as required. 14. Demonstrated high performance and competence in all clinical aspects of dentistry with sound clinical reasoning, advanced problem solving skills and extensive experience with the management of complex patient presentations. 15. Previous senior dental clinical leadership experience with knowledge and commitment to public dentistry principles and the value based model of care. 16.High level interpersonal, verbal and written communication and engagement skills and the demonstrated ability to work effectively within a multidisciplinary team. 17.Proven ability to practice, promote and lead systems that support clinical governance and demonstrated experience in the application of quality improvement activities, including clinical review, incident management and clinical audits. Job Types: Full-time, Permanent, Volunteer Benefits: Health insurance Paid time off Schedule: Day shift Evening shift Morning shift Night shift Rotational shift Supplemental Pay: Overtime pay Performance bonus Yearly bonus Ability to commute/relocate: SECTOR-21B, Chandigarh, Chandigarh: Reliably commute or planning to relocate before starting work (Required) Experience: total work: 2 years (Preferred)

Software Engineers are responsible for the design, development, maintenance, testing and evaluation of a new or modified software product. They are responsible for the entire application lifecycle from research and design to implementation, training and support. Hands on experience working with enterprise level application is desired and eager to learn new technologies as per the need. A Software Engineer will work tightly with their team in understanding requirement and project timelines. Working with other engineers to ensure best practices, adherence to software standards and sound technical decisions are made and implemented while ensuring that software designs adhere to the architecture design and department standards. Duties & Responsibilities Be a champion for department initiatives and values ensuring all actions promote the department’s mission statement Determine operational feasibility by evaluating analysis, problem definition, requirements, solution development, and proposed solutions Work with other developers, analysts, project managers, QA and others to develop enterprise-level software products adhering to best practices and established standards and practices Ensure software solutions are reviewed, documented and unit tested prior to handing it over to QA Prepare and install solutions by determining and designing system specifications, standards, and programming Document and demonstrate solutions by developing documentation, flowcharts, layouts, diagrams, charts, code comments and clear testable code Improve operations by conducting systems analysis and recommending changes in policies and procedures Communicate in a professional manner when interacting with coworkers and external customers Participate in internal and external technical reviews, as required Other duties and projects as assigned Skills Required Robust understanding of OOPS and design patterns Ability to work independently and as part of a team Excellent time management, resource organization and priority establishment skills, and ability to multi-task in a fast-paced environment Can work quickly and efficiently with moderate supervision Demonstrated skills and abilities needed to coordinate, facilitate, and participate in a collaborative approach to the completion of tasks or assignments Ability to develop software in C#/.NET, WebAPI, Entity Framework, Angular 2/above, HTML/CSS, TSQL Strong knowledge of enterprise computing software, including system management standards and solutions Strong Object-Oriented design and implementation skills Understanding of NuGet package management including creation, deployment, and version management Good to have knowledge on Cloud services (Azure) Good to have knowledge on CI/CD Qualifications Have HEART. To work here, you must be: Humble– self-aware and respectful Effective– measurably move the needle& immeasurably add value Adaptable– innately curious and constantly changing Remarkable– stand out in some way Transparent– openly and honestly sharing knowledge 3 to 4 years’ experience with software development post BE/B.Tech, ME/M.Tech or MCA Must have hands on experience in the development of enterprise class software solutions Should have worked with Scaled Agile Framework About Symplr We are an industry leader in compliance, credentialing and workforce management software as a service solution. We help healthcare organizations mitigate risk, ensure compliance and optimal deployment of workforce. symplr has a single mission: to make healthcare compliance, credentialing and workforce management simpler for all constituents of the healthcare community. We’re recognized for our innovative and easy-to-use software as a service solution, as well as our payor enrollment services both of which significantly reduce the cost of compliance and increase operational efficiency. We’re based in the five major healthcare technology hubs in the US: Houston, Nashville, Kansas City, Hartford and Bangalore. We proudly serve well over 4,000 healthcare organizations, from the smallest surgery centers to the largest integrated delivery networks (IDNs) and payers nationwide. Show more Show less

🚀 Job Title: Provider Credentialing Specialist 📍 Location: Mohali (Remote/Hybrid) 📄 Job Type: Full-time 🧑‍💻Experience: 1-5 Years 🏢 Company Description RevGroMD enables growth in healthcare practice by providing expert revenue solutions. We navigate the complexities of provider enrollment, revenue cycle, and market dynamics so that you can focus on providing exceptional care. Our trio of essential services includes Insurance Credentialing, Revenue Cycle Management, and targeted Marketing Services to fortify your healthcare practice or facility. 🎯 Role Description This is a full-time remote role for a Provider Credentialing Specialist based in Mohali. The Provider Credentialing Specialist will be responsible for managing the provider enrollment process, ensuring accurate and timely completion of credentialing applications, and maintaining credentialing files. They will also collaborate with internal teams and insurance companies to resolve any credentialing issues and ensure compliance with Medicare and other regulatory requirements. 🔍 Key Responsibilities ✔ Review and authenticate credentials, qualifications, licenses, certifications, and other relevant documents submitted by individuals or organizations. ✔Take care of the provider's CAQH account, PECOS (Medicare Account), & application enrollment with Medicare & Medicaid. ✔ Complete and submit applications to insurance payers (Medicare, Medicaid, commercial payers). ✔ Track application progress and follow up regularly with insurance companies regarding provider enrollment status until completion. ✔ Maintain and update credentialing files and databases. ✔ Ensure compliance with HIPAA and industry regulations and standards. ✔ Collaborate with internal teams to resolve credentialing-related issues. 📌 Qualifications & Skills ✔ 1-5 years of hands-on experience in provider credentialing or payer enrollment ✔ Familiarity with CAQH, NPPES, PECOS, and payer portals ✔ Knowledge of end-to-end provider enrollment process ✔ Knowledge of Medicare, Medicaid, and commercial insurance enrollment processes ✔ Excellent written and verbal communication skills ✔ Strong organizational skills and attention to detail ✔ Proficiency with Google Workspace, credentialing software/tools, and project management tools 🤷 Why Join RevGroMD ✅Be part of a mission-driven team simplifying healthcare operations ✅Growth opportunities and skill development ✅Flexible work environment with ownership of your work ✅Make a direct impact on revenue cycle performance and provider satisfaction Show more Show less

We are pleased to inform you that we are organizing a Mega Walk-In Drive at our Bangalore office starting from 5 PM onwards for Exp AR Callers. Min 1 to 5+ yrs of experience Work from Office Required Candidate profile Immediate Joiners are preferred 2-Way Cab Facility Food provided Health insurance Job Location : Bangalore @ Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

1. Location : Chennai & Bangalore 2. Exp : 1 - 4 Years exp in AR process and Denial management 3. Salary : Upto 47k take home 4. Interview mode : Virtual (online) 5. PF Account is mandatory 6. Shift t: Night Shift Required Candidate profile Knowledge of denials management and AR fundamentals is preferred. Experience in end-to-end RCM is preferred. Email: manijob7@gmail.com Call or Whatsapp 9989051577

Company Description SpeedBirdServices is a medical billing company located in Ahmedabad, providing efficient revenue cycle management solutions to healthcare providers. With over 10 years of experience, we offer personalized services tailored to meet the specific needs of each client, ensuring improved cash flow and less office distractions. Our services include E/M management, medical billing, medical coding, A/R management, referral and authorization management, and credentialing services. We also offer consultative services such as reviewing insurance contracts and optimizing super-bills. Role Description This is a full-time on-site role for a Medical Biller at SpeedBirdServices in Ahmedabad . The Medical Biller will be responsible for managing billing, collections, and other revenue cycle management tasks to ensure the practice's financial stability. Daily tasks may include handling medical terminology, denials, ICD-10 coding, insurance billing, and Medicare billing. Qualifications Medical Terminology and ICD-10 coding knowledge Experience with denials management and insurance billing Familiarity with Medicare billing processes Excellent attention to detail and organizational skills Strong analytical and problem-solving abilities Effective communication and interpersonal skills Certification in medical billing or related field is desirable Prior experience in revenue cycle management is a plus Education: UG :B.Sc in Any Specialization, Diploma in Any Specialization, B.Pharma in Any Specialization, B.B.A/ B.M.S in Any Specialization, B.Com in Any Specialization. Minimum Experience : 1 - 3 years Package : ₹ 2,00,000 - 4,00,000 P.A. Show more Show less

Verisys is looking for a QA lead who can ensure that software developed meets the standard of highest quality. This role requires leading a group of QA members, collaboration with various departments and developing testing strategies to build robust software products Duties/Responsibilities: Lead, mentor and guide a team of QA members to build the culture and excellence Apply business and functional knowledge to develop testing strategies Actively participate in product related meetings and contribute in complex discussion Participates in peer reviews of test cases to ensure quality and coverage of features Develop and implement quality metrics for process improvements Lead functional, integration, system, load and regression testing efforts Collaborate with Development , product and designers to identify test requirements and remove blockers Identifies opportunities for automation and lead the effort at organizational level Ready to work individual contributor in case required for a project Required Skills/Abilities: 8+ years of experience in software testing/development. Bachelor’s degree in computer science, Information Technology, or related field. Strong knowledge in software testing methodologies particularly in API and data related testing Proficiency in SQL and NoSQL databases. Experience in Selenium ,Playwright , Jenkins and Python for automation testing Exposure to Agile methodologies Experience in Test management tools like Azure Devops, Jira Good verbal and written communication, Analytical and problem solving Knowledge of DevOps functions and to contribute to CI / CD pipelines Preferred: Knowledge of one object oriented programming language. Familiarity with credentialing and/or healthcare is preferred Verisys transforms provider data, workforce data, and relationship management. More than 400 healthcare, life science, and background screening organizations depend on us to credential providers, improve data quality, publish compliant provider directories, and conduct employment verifications. Our comprehensive solutions deliver accurate and secure information. As a result, we’re the largest outsourced credentials verification organization in the United States. Since we’ve partnered with the most complex institutions in healthcare for decades, we can help organizations of any size discover their true potential. At Verisys, you can have a rewarding career on every level. In addition to challenging and meaningful work, you will have the chance to give back to your community, make a positive impact on the environment, participate in a range of diversity and inclusion initiatives, and find the support, coaching, and training it takes to advance your career. Our commitment to individual choice lets you customize aspects of your career path, your educational opportunities, and your benefits. And our culture of innovation means your ideas on how to improve our business and our clients will be heard. Verisys is an Equal Opportunity Employer. We encourage all qualified person of every heritage, nation, gender, veteran, or disability status, age, religion, or other protected status to apply. Show more Show less

About Certify: At CertifyOS, we're building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative. Our platform is the ultimate source of truth for provider data, offering unparalleled ease and trust while making data easily accessible and actionable for the entire healthcare ecosystem. What sets us apart? Our cutting-edge, API-first, UI-agnostic, end-to-end provider network management platform automates licensing, enrollment, credentialing, and network monitoring like never before. With direct integrations into hundreds of primary sources, we have an unbeatable advantage in enhancing visibility into the entire provider network management process. Plus, our team brings over 25+ years of combined experience building provider data systems at Oscar Health, and we're backed by top-tier VC firms who share our bold vision of creating a one-of-a-kind healthcare cloud that eliminates friction surrounding provider data. But it's not just about the technology; it's about the people behind it. At Certify, we foster a meritocratic environment where every voice is heard, valued, and celebrated. We're founded on the principles of trust, transparency, and accountability, and we're not afraid to challenge the status quo at every turn. We're looking for purpose-driven individuals like you to join us on this exhilarating ride as we redefine healthcare data infrastructure. ABOUT THE ROLE: As Certify scales, we need to add rigor & structure to our operational processes to continue driving high customer satisfaction at increasingly attractive unit economics. We’re looking to hire an Quality Assurance Team Lead to lead a critical pod of our Quality team – someone who combines best-in-class people leadership with strong subject matter expertise and a relentless focus on speed & quality. This individual will oversee a production-focused pod made up of quality auditors (QAs). WHAT YOU’LL DO: People Management & Team Leadership You’ll be the direct manager for a team that is responsible for hitting daily and weekly targets, constantly driving towards improved performance of our file processing even as volume grows Initially, several auditors will report to you; you will be responsible for their growth paths and success in their roles, focusing on both individual and team metrics You will hold weekly 1:1 meetings with the quality auditors on your team to review topics like: their file review throughput, blockers they are facing, ideas for improvement, and their career growth. You will lean in with lower-and-middle performers to coach them on ways to improve their file quality and productivity During company performance reviews, you will coordinate with Operations Management to determine performance ratings for the QAs on your team and you will deliver performance review conversations for your team members Every day you will host a standup with your team to cover yesterday’s performance and the plan for today, and on a weekly basis you will review performance from the last week with the team You’ll also act as a liaison between the audit team and credentialing, compliance, and operations departments to resolve complex cases and maintain compliance Collaborate with the Credentialing Team leaders and internal stakeholders to develop, implement, and refine audit tools, workflows, and standard operating procedures. You will also help to develop and maintain documentation for training and audit protocolsOther focus areas will include: working to help onboard new hires; educating and supporting new team members as they train, and eventually you will be involved in the hiring process for new QAs who join your team Production Management You will be responsible for overseeing the daily operations, performance, and continuous improvement efforts of a team that audits credentialing files to ensure compliance with regulatory (i.e. CMS), accreditation (i.e. NCQA), and internal quality standards You will be accountable for the team hitting the core performance metrics for all clients. Your core metrics will be split across speed and quality. You will be obsessing over ways to improve each of these as volume scales Ultimately, you will be focused on ensuring that the files your team is responsible for are within SLA for all clients, and that the quality of the files is above and beyond expectations Every day you will ensure your team’s work has been effectively distributed to the QAs and that they are unblocked. You will coordinate with Credentialing Management to understand what the highest priority files are and ensure that your team is equipped to work on them You will review the data of your team’s performance on a daily and weekly basis, sharing information upwards to management, downwards to the team, and laterally to your peers You will Identify trends, gaps, and root causes in credentialing errors and work with process owners to improve quality WHAT YOU’LL NEED: Incredible coaching skills; you’re someone who is energized by mentoring and developing highly productive and happy team members A passion for seeing metrics improve week over week A desire to get deep in the weeds to understand how processes function and how they’re connected to driving key company metrics An ability to get your hands dirty and build, being tactical for the short term and strategic for the long termExtreme organizational skills A strong track record of juggling multiple initiatives and clear ability to prioritize the most important things At least 1 - 2 years in a quality assurance or auditing role, plus prior leadership or team coordination experience. Experience in healthcare credentialing is preferred At Certify, we're committed to creating an inclusive workplace where everyone feels valued and supported. As an equal opportunity employer, we celebrate diversity and warmly invite applicants from all backgrounds to join our vibrant community. Show more Show less

Skills: Next.js, React, JavaScript, HTML5, CSS3, react ecosystem, React Router, React Hooks, About The Job TL;DR: Seeking an experienced Front-end Developer proficient in React and Next.js to build user-friendly interfaces for Proof of Skill, a blockchain-based protocol for skill verification and credentialing. Proof of Skill protocol is a decentralised system where industry experts (Validators) evaluate candidates' skills and issue verifiable Skill Credentials. Organizations can then shortlist candidates based on these credentials. Please fill this form - forms.gle/th34vWx247XKsMXx9 Qualifications And Skills 5+ years of experience in front-end development, with a strong focus on React and Next.js Proficiency in JavaScript, HTML5, CSS3, and related front-end technologies Solid understanding of React ecosystem, including Redux, React Router, and React Hooks Experience with Next.js and its server-side rendering (SSR) and static site generation (SSG) capabilities Familiarity with modern front-end build tools and workflows (e.g., Webpack, Babel, ESLint) Knowledge of responsive design and cross-browser compatibility Experience with RESTful APIs and integration with back-end services Familiarity with web accessibility standards (WCAG) and best practices Understanding of blockchain technology and decentralized applications (dApps) is a plus Responsibilities Design and develop user-friendly interfaces for the Proof of Skill platform using React and Next.js Implement reusable and modular front-end components following best practices Integrate with blockchain-based back-end services and decentralized data sources Optimize performance, scalability, and security of the front-end applications Collaborate with the design team to ensure pixel-perfect implementation of UI/UX designs Write clean, maintainable, and well-documented code Participate in code reviews and ensure adherence to coding standards Stay up-to-date with the latest front-end technologies, frameworks, and industry trends Ideal Candidate Traits Strong problem-solving and analytical skills Excellent communication and collaboration abilities Attention to detail and commitment to writing clean, efficient code Passion for creating intuitive and engaging user experiences Entrepreneurial mindset and willingness to take ownership Curiosity and eagerness to learn and grow in a dynamic environment Experience building for crypto is a huge plus Show more Show less

Company Description RevGroMD enables growth in healthcare practice by providing expert revenue solutions We navigate the complexities of provider enrollment, revenue cycle, and market dynamics so that you can focus on providing exceptional care Our trio of essential services includes Insurance Credentialing, Revenue Cycle Management, and targeted Marketing Services to fortify your healthcare practice or facility Role Description This is a full-time role for a Provider Credentialing Specialist based in Mohali The Provider Credentialing Specialist will be responsible for managing the provider enrollment process, ensuring accurate and timely completion of credentialing applications, and maintaining credentialing files They will also collaborate with internal teams and insurance companies to resolve any credentialing issues and ensure compliance with Medicare and other regulatory requirements Qualifications ??Excellent organizational and communication skills ?? Review and authenticate credentials, qualifications, licenses, certifications, and other relevant documents submitted by individuals or organizations ??Follow Up with the insurance on provider enrollment ??Taking care of the provider's CAQH account, PECOS (Medicare Account), & application enrollment with Medicare & Medicaid ??Ability to work independently Show more Show less