910 Credentialing Jobs - Page 5

Credentialing Executive Job description As a Credentialing Executive at PDA E-Services Pvt Ltd, you will play a critical role in managing the credentialing and enrollment processes for dental care providers in the U.S. Your work will directly support timely onboarding, regulatory compliance, and ongoing licensure across various insurance panels and healthcare networks. This position requires precision, proactive follow-ups, and a deep understanding of administrative workflows in a U.S. healthcare environment. What You’ll Do: Collect and verify dental provider documentation for insurance enrollment and credentialing. Submit complete, accurate applications to Medicare, Medicaid, and commercial insurance plans Track credentialing application statuses and follow up with insurance carriers for timely approvals. Monitor expirations and renewals of provider licenses, malpractice insurance, certifications, and revalidations. Maintain and update internal credentialing databases and portals with accuracy and consistency. Ensure full compliance with credentialing standards, timelines, and HIPAA guidelines. Collaborate with practice managers, U.S. client teams, and internal operations to ensure end-to-end credentialing coverage. What We’re Looking For: 1 to 3 years of experience in Dental credentialing, enrollment, or related U.S. healthcare operations. Excellent English communication (spoken & written) and attention to detail. Strong familiarity with MS Office tools (Excel, Outlook, Word) and web-based portals. Prior exposure to U.S. insurance systems is a plus. Comfortable working in U.S. night shifts and handling time-sensitive tasks independently. Education: Graduate in any stream ( B.Com / BBA / B.Sc / B.A. or equivalent preferred). Work Schedule: Shift: Fixed Night Shift (U.S. Hours) Timings: 4:00 PM to 1:00 AM IST Working Days: Monday to Friday Weekly Off: Saturday and Sunday Location: On-site – Pune

Job Title: Onboarding Specialist – Healthcare Staffing Location: Bhubaneswar, Odisha | Onsite | Full-Time Job Description: We are looking for an experienced Onboarding Specialist with a strong background in the healthcare staffing industry to join our onsite team in Bhubaneswar. This role will support recruiters by managing candidate onboarding, ensuring compliance, and making the process smooth and efficient for healthcare professionals. Key Responsibilities: Work closely with healthcare recruiters to onboard selected candidates Manage the entire onboarding process including background checks, credentialing, and documentation Ensure compliance with healthcare staffing regulations and client-specific requirements Maintain accurate and updated records in JobDiva ATS and HR systems Communicate with candidates to guide them through the onboarding journey Collaborate with HR, compliance, and operations teams to ensure timely starts Provide ongoing support to resolve candidate questions related to onboarding Requirements: Proven experience in the healthcare staffing industry (mandatory) Hands-on experience with JobDiva ATS (mandatory) Strong knowledge of credentialing, compliance, and healthcare documentation Excellent communication, organizational, and multitasking skills Proficiency in MS Office (Word, Excel, Outlook) Detail-oriented with strong problem-solving ability Preferred: Experience with nurse staffing, travel nursing, or allied healthcare onboarding Knowledge of state-specific healthcare compliance requirements Job Type: Full-time Pay: ₹267,121.34 - ₹977,702.99 per year Work Location: In person

Job Description – HR Manager Location: B1/607, Westgate Business Bay, Sarkhej - Gandhinagar Hwy, nr. Jaguar showroom, Makarba, Ahmedabad, Gujarat – 380051 Shift Timings: 12:00 PM – 9:00 PM (Work from Office Only) Working Days: 6 Days / Alternate Saturdays Off About Technocruitx Technocruitx is a multi-service company specializing in Healthcare RCM Services, Recruitment, and Technology Solutions . US Healthcare RCM Services: Medical & Dental Billing, Revenue Analytics, Medical Coding, Charge & Payment Posting, Claims Denial/Appeals Management, Credentialing, and more. Recruitment Services: Permanent Hiring, Staff Outsourcing, Payroll & HR Outsourcing. Technology Services: Web & Mobile App Development, Software Product Development, Digital Marketing, and UI/UX Design. For more details, visit: www.technocruitx.com Role Overview We are seeking an experienced HR Manager to lead end-to-end HR operations and drive people initiatives across the organization. The role requires a strong background in talent acquisition, payroll, HR operations, compliance, and employee engagement. The ideal candidate will bring proven expertise in handling diverse HR functions and managing cross-functional collaboration in a dynamic, fast-paced environment. Key Responsibilities Manage end-to-end HR operations – from onboarding to exit process . Drive talent acquisition & full-cycle recruitment across multiple domains. Administer payroll & benefits management with hands-on experience in Keka HR software (or similar HRMS). Oversee attendance, compliance, and statutory regulations . Conduct employee engagement initiatives and ensure a positive workplace culture. Lead negotiation & relationship-building with employees and stakeholders. Handle admin roles and ensure smooth organizational support functions. Collaborate with management & cross-functional teams to align HR strategies with business goals. Ensure seamless HR operations in alignment with company policies and best practices. Support US Healthcare team requirements by being flexible to adjust to night shifts when needed . Requirements Experience: 5 – 8 years in complete HR operations (end-to-end). Prior experience in Healthcare, Logistics, or E-commerce industries is highly preferred. Strong knowledge of Keka HRMS and other HR software. Proven expertise in payroll, compliance, HR administration, and talent management . Excellent communication, interpersonal, and problem-solving skills. Ability to manage stretch work hours and adaptability to business needs. Hands-on experience in admin roles & client coordination . Why Join Us? Opportunity to work with a fast-growing multi-service company . Exposure to US Healthcare RCM, Recruitment, and IT domains . Free Lunch Facility provided by the company daily. Collaborative and growth-driven work culture. Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹50,000.00 per month Benefits: Food provided

Tradebuilder is a multi-national entity with HQ in San Jose, California. We are setting up a world-class back office operations to support multiple business processes in healthcare. We are looking for interns who are willing to burn the mid-night oil working in US timezone and ready for a challenging as well as a demanding work environment. If you enjoy great communication skills, verbal and well as written, we are ready to mentor you for role that may lead you to a very successful career. Job Description: Your will be responsible for running back office functions for a healthcare practice. You will assigned to multiple business processes that are backbone of a successful practice. Please do not apply if you do not meet some of the must-have qualifications. You will be paid a stipend of INR 15,000 during the training period that may last for 3 months. This full-time on-site role is for those looking to build a career in healthcare . You may get an opportunity work from home for a few weeks prior to coming onsite to work. Qualifications Degree in business administration or medical. Strong proficiency in Microsoft Office (Excel, Word, PowerPoint) Good communication (verbal and written), organizational, and analytical skills Ability to multitask, work effectively in a team environment, and be proactive Experience in the healthcare industry (additional coursework or certifications are a plus) Must be able to commute to office with a travel time of less than 45 mins. Must be willing to work in the US timezone. Must have a working laptop and an internet connection at home. Note: Applying for this role without meeting the aforementioned requirements will result in automatic rejection of the candidacy.

Job Description – HR Manager Location: B1/607, Westgate Business Bay, Sarkhej - Gandhinagar Hwy, nr. Jaguar showroom, Makarba, Ahmedabad, Gujarat – 380051 Shift Timings: 12:00 PM – 9:00 PM (Work from Office Only) Working Days: 6 Days / Alternate Saturdays Off About Technocruitx Technocruitx is a multi-service company specializing in Healthcare RCM Services, Recruitment, and Technology Solutions . US Healthcare RCM Services: Medical & Dental Billing, Revenue Analytics, Medical Coding, Charge & Payment Posting, Claims Denial/Appeals Management, Credentialing, and more. Recruitment Services: Permanent Hiring, Staff Outsourcing, Payroll & HR Outsourcing. Technology Services: Web & Mobile App Development, Software Product Development, Digital Marketing, and UI/UX Design. For more details, visit: www.technocruitx.com Role Overview We are seeking an experienced HR Manager to lead end-to-end HR operations and drive people initiatives across the organization. The role requires a strong background in talent acquisition, payroll, HR operations, compliance, and employee engagement. The ideal candidate will bring proven expertise in handling diverse HR functions and managing cross-functional collaboration in a dynamic, fast-paced environment. Key Responsibilities Manage end-to-end HR operations – from onboarding to exit process . Drive talent acquisition & full-cycle recruitment across multiple domains. Administer payroll & benefits management with hands-on experience in Keka HR software (or similar HRMS). Oversee attendance, compliance, and statutory regulations . Conduct employee engagement initiatives and ensure a positive workplace culture. Lead negotiation & relationship-building with employees and stakeholders. Handle admin roles and ensure smooth organizational support functions. Collaborate with management & cross-functional teams to align HR strategies with business goals. Ensure seamless HR operations in alignment with company policies and best practices. Support US Healthcare team requirements by being flexible to adjust to night shifts when needed . Requirements Experience: 5 – 8 years in complete HR operations (end-to-end). Prior experience in Healthcare, Logistics, or E-commerce industries is highly preferred. Strong knowledge of Keka HRMS and other HR software. Proven expertise in payroll, compliance, HR administration, and talent management . Excellent communication, interpersonal, and problem-solving skills. Ability to manage stretch work hours and adaptability to business needs. Hands-on experience in admin roles & client coordination . Why Join Us? Opportunity to work with a fast-growing multi-service company . Exposure to US Healthcare RCM, Recruitment, and IT domains . Free Lunch Facility provided by the company daily. Collaborative and growth-driven work culture. Job Types: Full-time, Permanent Pay: ₹30,000.00 - ₹50,000.00 per month Benefits: Food provided

Company Description At Cosmos Medical Care Solutions, we specialize in end-to-end Revenue Cycle Management (RCM) solutions to help healthcare providers streamline billing, reduce denials, and maximize revenue. Our deep understanding of medical billing and compliance enables hospitals, physician practices, ambulatory surgery centers, and specialty clinics to enhance financial performance while focusing on patient care. Utilizing data-driven approaches and cutting-edge technology, we ensure that your revenue cycle operates with precision and efficiency. With our expertise in medical billing and a dedicated team, we provide services including claims management, payment posting, credentialing, and patient support, transforming healthcare finances seamlessly. Role Description This is a full-time, on-site role for a Business Development Specialist located in Gandhinagar. The Business Development Specialist will be responsible for generating leads, conducting market research, and developing new business opportunities. The specialist will communicate with potential clients, build and maintain customer relationships, and analyze market trends to identify opportunities for growth. Qualifications Analytical Skills and Market Research abilities Strong Communication and Customer Service skills Proficiency in Lead Generation techniques Excellent problem-solving and decision-making skills Ability to work independently and collaboratively Experience in the healthcare industry is a plus Bachelor's degree in Business, Marketing, or related field

We’re Hiring: US Healthcare Recruiter (Night Shift) - Chennai Company: Avacend Solutions Private Limited Location: TICEL Bio Park, Taramani, Chennai, India Work Mode: In-Office Only Work Time: US/ Night Shift (7:00 PM - 4:00 AM IST) Open Positions: 5 Learn more: www.avacendsolutions.com What we are looking for 3-5 years of experience in US Healthcare Recruitment Any Graduate Degree Proven Recruitment Skills with experience in US healthcare staffing process Strong communication and negotiation skills Familiarity with US healthcare compliance and credentialing Ability to manage end-to-end recruitment lifecycle What you’ll do Source candidates through job portals, databases, and networking Screen resumes to shortlist suitable candidates Conduct interviews to evaluate skills and cultural fit Negotiate pay and benefits with candidates Perform credentialing and licensing verification Collect professional and compliance documents Conduct assessments, background verification and compliance checks Provide onboarding support for selected candidates Why join us Work with US-based MNC and Fortune 100 clients Competitive Salary and Benefits Opportunity to grow your career in a dynamic and fast-paced environment How to Apply Send your resume to: madhu@avacendsolutions.com Subject Line: US Healthcare Recruiter – Your Name

Desired Candidate Profile: Excellent communication skills. Should have worked in Credentialing, medical billing service providers. Good Knowledge in Provider credentialing. Good knowledge in clearing house setup. Electronic Data Interchange setup (EDI). Electronic Remittance Advice Setup (ERA). Establish Insurance Portals (EFT). Experience in Insurance calling. Good knowledge in filling insurance enrollment applications. Good experience in CAQH, PECOS application. Experience in Medicare, Medicaid, Commercial insurance enrollment. Positive attitude to solve problems. Knowledge of generating aging report. Preferred immediate joiners. Flexible with shift timings. Interested candidate can share there resume on meenu.5728@knackglobal.com

Excellent communication skills. Should have worked as a Credentialing Analyst, medical billing service providers. Good Knowledge in Provider credentialing. Good knowledge in clearing house setup. Electronic Data Interchange setup (EDI). Electronic Remittance Advice Setup (ERA). Establish Insurance Portals (EFT). Experience in Insurance calling. Good knowledge in filling insurance enrollment applications. Good experience in CAQH, PECOS application. Experience in Medicare, Medicaid, Commercial insurance enrollment. Positive attitude to solve problems. Knowledge of generating aging report. Preferred immediate joiners. Flexible with shift timings.

Customer Success Manager - Inside Sales (Permanent Work-From-Home) - Medical Credentialing & Billing for US market. About the Role: We are seeking a dynamic Customer Success Manager for our Inside Sales team, specializing in medical credentialing and billing services for the US market. If you have a passion for sales and a track record of success, this role might be perfect for you. Key Responsibilities: Proactively identify and engage new provider leads and practice managers through inbound and outbound calls. Present and sell our provider enrollment services, highlighting key benefits and features. Consistently achieve monthly sales targets and revenue goals by managing the entire sales cycle and closing deals. Work closely with the marketing and sales teams to create effective lead-generation strategies and campaigns. Stay informed on industry trends and regulatory changes related to provider enrollment and revenue cycle management. Maintain detailed records of all sales activities and regularly report on sales metrics. Attend industry conferences and events to network with potential clients and stay updated on industry developments. Qualifications: A minimum of 3 years of experience in sales. A minimum of 1 year of experience in credentialing/billing sales. Proven success in meeting or exceeding sales targets. Excellent communication and interpersonal skills. Strong negotiation and closing abilities. Ability to work both independently and within a team. Experience with CRM software and sales tools. Exceptional attention to detail and organizational skills. A Bachelor’s degree in business or a related field is preferred but not required. Mandatory Requirements: Has a fast dedicated laptop/PC I5+, 8GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy). Quiet home office with no distractions Have at least 1 year of experience working from home successfully during EST hours Minimum dedicated fast internet 500MBPS (must be fiber or cable into your home) 9am-6pm EST Mon-Fri shift. Compensation: Client offers a competitive salary package, with a monthly incentive plan based on sales performance. Salary is negotiable depending on experience and skills. Ready to take your sales career to the next level? Apply now!

We are hiring candidates for AR Caller or Credentials specialist worked in US health care medical billing Education min. graduation Good communication skills Location Mohali Apply for contact 7986974354 Vandna

Experience: 1-2 years in AR calling (US healthcare) Exp in denial management and handling AR calls Exp with healthcare billing software Ensure accurate & timely follow up where required. Required Candidate profile Immediate Joiners are preferred Should have worked on appeals, AR Follow-up, refiling & denial management Job Location: Mysore, Bangalore Chennai Email: manijob7@gmail.com Call or Whatsapp 9989051577

Designation: AR Caller / Senior AR Caller 1 year to 4 years of experience in AR Calling and should be flexible for night shifts. Experience working with US-based insurance companies and understanding of CPT, ICD-10, and modifiers. Required Candidate profile Notice Period: Immediate joiners or candidates with a maximum 15-day notice period are highly preferred. Job Location Bangalore / Chennai / Noida Email: manijob7@gmail.com Call or Whatsapp 9989051577

About the Role We are seeking a Healthcare Credentialing Specialist with strong experience in managing provider enrollment, credentialing, and compliance with regulatory guidelines. The ideal candidate will have a keen eye for detail, excellent communication skills, and the ability to work collaboratively with providers, payers, and internal teams. Key Responsibilities Manage the full-cycle credentialing and re-credentialing process for healthcare providers. Verify and maintain provider documentation, licenses, certifications, and affiliations. Coordinate with insurance companies, hospitals, and healthcare organizations for provider enrollment. Ensure compliance with NCQA, CMS, and other regulatory requirements. Maintain accurate and up-to-date records in credentialing databases. Communicate effectively with providers regarding application status, missing information, or required updates. Support audits, reporting, and quality improvement initiatives. Qualifications Minimum 1 year of hands-on experience in healthcare credentialing or provider Familiarity with credentialing software/systems (CAQH, NPPES, PECOS, etc.). Excellent organizational and documentation skills.

Company Description CrystalVoxx is a healthcare econometrics company that provides integrated healthcare solutions, including medical billing and coding services. Our services span across provider insurance credentialing, EDI enrollment, payment posting, and AR recovery & denial management. We assist practices in managing a healthy revenue cycle and improving their financial performance through a unique workflow combined with advanced analytics and technology. CrystalVoxx has 14 years of caretaking experience and specializes in various medical fields, including chiropractic, physical therapy, dental, cardiology, and more. Role Description This is a full-time role for a Talent Acquisition Specialist, located on-site in Ahmedabad. The Talent Acquisition Specialist will be responsible for managing the full life cycle of recruiting, including sourcing, interviewing, and hiring candidates. The role involves developing and executing an effective employer branding strategy to attract top talent. Daily tasks will include coordinating with hiring managers to understand their staffing needs, posting job adverts, and conducting interviews. Qualifications Proficiency in Full-Life-Cycle Recruiting and Hiring Strong skills in Interviewing and Recruiting Excellent written and verbal communication skills Bachelor's degree in Human Resources, Business Administration, or related field Previous experience in a similar role is preferred

Role & responsibilities Preferred candidate profile Hiring for Credentialing-Voice WFH US Healthcare Credentialing Voice/Semi voice Excellent communication skills Must be flexible to work US shifts Any Graduates

We’re Hiring: Virtual Medical Office Assistant Location: Remote Compensation: CTC ₹42,500 per month We are looking for an experienced Virtual Medical Office Assistant to join our healthcare team. If you have 2+ years of experience in a U.S. medical practice , strong EHR knowledge, a Bachelor in Dental Surgery/Bachelor of Pharmacy/MBBS degree with a strong interest and understanding of medicine, and excellent communication skills, this role is for you! Key Responsibilities: Provide virtual administrative & clinical support to providers and care teams Manage and update patient data in EHR systems Schedule patient appointments, follow-ups, and coordinate provider calendars Order labs and medication refills as directed Prepare reports, trackers, and dashboards in MS Excel & Adobe Prepare credentialing packets for providers/facilities Monitor, sort & distribute incoming faxes with accurate documentation Manage shared email inboxes — organize, sort, and respond to emails promptly and appropriately Track and ensure timely completion of assigned tasks & workflows Call and email providers for updates, ensuring follow-ups are completed on time Analyze and update patient lists to identify preventive care needs Upload, scan, and organize documents into EHR & other applications Support physicians and facilities with additional administrative tasks Ensure strict compliance with HIPAA and organizational standards Required Skills & Experience: A degree in Bachelor in Dental Surgery/Bachelor of Pharmacy/MBBS is a must 2–3 years of experience in a U.S. medical office Strong working knowledge of EHR systems Hands-on experience with patient scheduling and clinical workflows Excellent English communication skills (spoken & written, grammar proficiency) Proficiency in MS Excel (dashboards, trackers) & other productivity tools Strong organizational and multitasking ability in a remote setting Detail-oriented, proactive, and reliable in problem-solving Empathetic and kind in patient and provider interactions What We Offer:  · Competitive pay: CTC ₹42,500 and opportunities for growth and career development · 100% remote work environment · Supportive & collaborative team culture If you meet the requirements and are passionate about healthcare support, we’d love to hear from you!

As a Credentialing Specialist (Provider Enrollment) at our office in Pune, you will play a crucial role in maintaining accurate provider profiles on various databases such as CAQH, PECOS, NPPES, and CMS. With a minimum of 1-3 years of experience in credentialing, your primary responsibility will be to ensure that all provider profiles are up to date and compliant with regulatory requirements. Your key responsibilities will include collaborating with providers to update their CAQH files in accordance with CMS Medicare/Medicaid and Managed Care Organizations regulations. Additionally, you will be responsible for monitoring and maintaining the credentialing, re-credentialing, and contracting processes with insurance companies. To excel in this role, you should possess strong skills in credentialing, insurance eligibility, and enrollment. You will also be required to keep track of expiration dates for state DEA licenses, board certifications, and malpractice insurance for individual providers. This is a full-time position with day shift and morning shift schedules. As the nature of the work requires in-person presence, you will be expected to work from our office location in Pune. If you are a detail-oriented individual with a passion for ensuring provider compliance and maintaining accurate credentialing records, we encourage you to apply for this exciting opportunity.,

Skills: Healthcare Leadership, Medical Services, Hospital Administration, Budget Management, Strategic Planning, Process Improvement, Medical Operations, Quality Assurance, Job Purpose Overall responsibility for medical leadership and oversight of the departmental operations including delivery of clinical care both routine and emergent, inter & intra departmental collaborations, people management, infrastructure and other administrative functions of the assigned clinical specialties through the respective Directors. Overall responsibility for planning and leading operations of Biomedical Engineering Department including equipment planning, evaluation, direction, implementation & life cycle management as per hospital objectives through Head Biomedical Engineering. Overall supervision responsibility of smooth functioning of the CSSD dept. through Head CSSD Overall responsibility of supervision and smooth functioning and effective utilization of OTs. Key Responsibilities Service Overall leadership, monitoring and supervision of departmental activities of the assigned inpatient, clinical and surgical specialties; collaboration with Directors, Mentors and other support services for smooth functioning of the departments, effective patient care and management. Ideate, recommend, develop or suggest best policies and procedures, to CEO; Drive adherence to the policies and procedures & staff safety, and by laws across the department. Supervision of the governance framework of assigned clinical specialties and support medical governance of the organization. Drive Vision, Mission, Values and Behaviors of Reliance Foundation Hospital across the assigned clinical specialties. Direct and coordinate activities between department directors, coordinators, clinicians, technicians and departmental sections; and manage communications with the CEO. Strengthening clinical capability through onboarding and engagement of suitable consultants in concerned specialties. Active participation in Credentialing and Privileging Committee and approve privileges of clinicians based on committee inputs and in liaising with department directors. Identify risk status across the services provided by the specialties and recommend appropriate intervention to mitigate and minimize risk. Ensuring compliance with PCPNDT through timely and complete registrations of concerned medical professionals. Liaising with medico-legal experts to facilitate handling of medico-legal aspects of patient care and mitigate medico-legal issues. Ensure that all patient related and administrative documents are accurately maintained/ updated ensuring patient confidentiality at all the times in HIS. Promote use of evidence based practices like site marking, WHO surgical checklist & hand hygiene protocols across the clinical specialties in line with national and international quality norms. Enhance OT service capabilities through effective utilization of the OTs to ensure optimum cost-benefit. Conduct audits, monitor TAT and take remedial actions to improve any suboptimal utilization of OTs Ensure timely resolution of any issues concerns in the services of the OTs Ensure proper staff safety standards are met through compliance with safety standards for the team members. Ensure that infection control protocols and antibiotic stewardship program are followed in wards & OTs and procedure rooms. Overall responsibility for ensuring availability of advanced biomedical equipment to support highest level of clinical services as per RFH standards of excellence. Facilitate timely resolution of technical problems related to biomedical equipment to ensure smooth functioning of the equipment and to achieve highest internal customer satisfaction. Review and drive CSSD policies and procedures across the hospital to ensure highest level of sterilization and infection control as per RFH standards of excellence. Ensure uninterrupted supply of sterilized items to all areas of hospital in coordination with Head CSSD. Conduct periodic audits across the departments to ensure compliance with the set CSSD standards. Ensure the execution of sterilization work processes for the safety of patients and staff. Drive and maintain High Patient Satisfaction across the assigned clinical specialties through quality patient care and safety. Monitor patient care outcomes through routine monitoring of departmental clinical outcomes and Patient Reported Outcome Measures. Ensure conduction of clinical audits to assess service performance and quality, and subsequent corrective and preventive measures. Enhance ability to provide quality patient care through supervision of development, implementation and execution of clinical pathways. Implement and drive process improvements projects to improve clinical process workflows and efficiency. Ensure that the assigned specialties have standardized clinical protocols in line with evidence based medicine, to provide standard care to all patients and achieve medical outcomes of highest standards for our patients. Lead & participate in SLT, core committee (as applicable), interdepartmental meetings, medical governance, committees and fulfill all responsibilities as assigned and ensure timely closures of assigned responsibilities. Participate as per the defined role during any internal / external disaster. Any other responsibility as assigned by the CEO on the basis of needs of the organization. Key Responsibilities: Growth Coordinate with respective Mentors and Directors to drive the International & National collaboration as applicable to develop world class clinical care, clinical outcomes, path breaking results and high end technology with strong focus on service excellence to ensure quality care. Plan and participate in health programs in the hospital, Outreach activities or communities for prevention and treatment of injuries or illnesses. In collaboration with the respective Directors and Mentors, introduce new specialties for further growth of the department. Quality Ensure quality assurance, quality improvement programs and safety related activities are adhered to across the assigned clinical specialties and departments. Lead and drive accreditation related activities across the assigned clinical specialties and departments. Support integration of the coordinator and the department with the Quality, Infection Control & patient feedback framework of organization. Ensure adherence to internationally accepted standards of care, including but not limited to those recommended by JCI, NABH and other quality systems. Empanel suitable consultants across the assigned specialties to augment the services and thereby contributing to the growth of the hospital. Finance Plan annual budget for the assigned specialties and departments Plan Capex / Opex in terms of medical equipment and instruments, consumables and supplies and manpower to support routine and contingency operations. Plan and monitor optimal utilization of available resources. Key Responsibilities: People Support HR in selection and onboarding of the suitable and competent team members. Set the goals for team members and be responsible for performance evaluation / assessment / appraisals. Drive high performance and professional excellence Ensure induction / orientation training of functional and technical skills of the team members. Identify, mentor and coach a capable and competent Deputy, whose roles and responsibilities will be developed in line with the organization growth Development of second line. Ensure high morale and retention of the team members through introduction of timely resolution of any issues and as Mentor to junior medical staff. Key Responsibilities : Innovation & Research Liaise with department directors /coordinators to conduct, participate and encourage clinical education, research, clinical tests and publication to advance the practice of medicine pertaining to the clinical specialties. Keep abreast with the latest technology and innovations in the clinical field for advancing the departments. Seek and implement suggestions / feedback to further improvise services of department and growth of the department. Experience & Additional Requirements Educational Qualifications Necessary : MBBS Desirable : Publications and Research Relevant Experience Necessary : 15 years experience post PG in clinical and medical administration Desirable : Out of 15 years of above experience minimum 5- 8 years should be in large multispecialty hospital

Need 1 years of exp in AR or Credentialing or Authorization Profile. Must be okay with calling Profile should have good comms. Any one from hospital and dental billing can apply Required Candidate profile LOOKING FOR IMMEDIATE JOINER Should be willing to work in US Shift. Need At least 1 years of work experience. Must be graduate. 1 Side cab and 1 side shuttle available looking for immediate joiner

DataFlow is looking for an ambitious, energetic and highly skilled Senior Manager within the Equivalence Services within DataFlow. This critical role combines team leadership with high-level operational and project coordination. The individual will foster close working relationships with internal and external stakeholders to ensure timely delivery. The ideal candidate will possess deep expertise in international education systems and qualifications including academic, technical, professional, and vocational, a proven track record of operational leadership to complex credentialing challenges and ensuring the highest standards of service delivery. DataFlow offers a flexible and collaborative working environment with a multi-national multi-cultural team spread across the globe. The role will be working closely with all key stakeholders internally and externally and would be a high visibility role. Job Summary: The primary focus of this position is to ensure all academic and vocational credential evaluations and associated functions are done on time maintaining quality, speed and integrity. This is a critical position requiring strong coordination, analytic skills, and a process-oriented mindset. The role requires answering complex queries and resolving escalations, ensuring our services maintain the highest standards of quality and consistency. Duties and responsibilities: Review and evaluate academic, technical and vocational credentials to the UAE education system, using UAE rules and regulations. Provides expert clarification and support to the team on all aspects of the equivalency process, acting as their go-to resource for the most challenging questions. Lead and manage a team of operation professionals and drive operational excellence by improving and automating our workflows. Coordinate daily operational workflow to ensure evaluations are completed smoothly and meet all quality and speed targets (SLAs). Use data to find and fix bottlenecks, improving the process with automation and new technology. Applies expert, hands-on research skills to resolve difficult cases, using these as opportunities to mentor the team and enhance standards. Work closely with other teams like Applicant Support, Technology to give customers a smooth experience. Stay abreast of changes in global education systems, accreditation standards, and international treaties related to academic, technical and vocational qualification recognition. Ensure the team follows all client regulations, industry standards and data privacy regulations. Skills: Understanding of different types of qualification credentials, credential evaluation, regulatory procedures, and education systems Organizational and project management skills with the ability to manage multiple priorities Strong data analytical and problem solving skills Process-oriented mindset with attention to detail and structured thinking Collaborative, able to work independently under pressure, with time-management skill Internal and External Stakeholder Management Excellent interpersonal, communication skills Excellent written and verbal communication skills A passion for continuous improvement and innovation Qualification and Experience Requirements: Minimum Bachelor’s degree required; degree in Education, or related field preferred. 10-12 years of experience in education service delivery Prior experience in academic or vocational education credentialing or education regulatory domains is preferred. Knowledge of qualification frameworks of different countries and credential databases is an advantage. Willing to work extended hours when required to meet deadlines.

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.

DataFlow is looking for an ambitious, energetic and highly skilled Senior Manager within the Equivalence Services within DataFlow. This critical role combines team leadership with high-level operational and project coordination. The individual will foster close working relationships with internal and external stakeholders to ensure timely delivery. The ideal candidate will possess deep expertise in international education systems and qualifications including academic, technical, professional, and vocational, a proven track record of operational leadership to complex credentialing challenges and ensuring the highest standards of service delivery. DataFlow offers a flexible and collaborative working environment with a multi-national multi-cultural team spread across the globe. The role will be working closely with all key stakeholders internally and externally and would be a high visibility role. Job Summary: The primary focus of this position is to ensure all academic and vocational credential evaluations and associated functions are done on time maintaining quality, speed and integrity. This is a critical position requiring strong coordination, analytic skills, and a process-oriented mindset. The role requires answering complex queries and resolving escalations, ensuring our services maintain the highest standards of quality and consistency. Duties and responsibilities: Review and evaluate academic, technical and vocational credentials to the UAE/Global education system, using UAE/Global rules and regulations. Provides expert clarification and support to the team on all aspects of the equivalency process, acting as their go-to resource for the most challenging questions. Lead and manage a team of operation professionals and drive operational excellence by improving and automating our workflows. Coordinate daily operational workflow to ensure evaluations are completed smoothly and meet all quality and speed targets (SLAs). Use data to find and fix bottlenecks, improving the process with automation and new technology. Applies expert, hands-on research skills to resolve difficult cases, using these as opportunities to mentor the team and enhance standards. Work closely with other teams like Applicant Support, Technology to give customers a smooth experience. Stay abreast of changes in global education systems, accreditation standards, and international treaties related to academic, technical and vocational qualification recognition. Ensure the team follows all client regulations, industry standards and data privacy regulations. Skills: Understanding of different types of qualification credentials, credential evaluation, regulatory procedures, and education systems Organizational and project management skills with the ability to manage multiple priorities Strong data analytical and problem solving skills Process-oriented mindset with attention to detail and structured thinking Collaborative, able to work independently under pressure, with time-management skill Internal and External Stakeholder Management Excellent interpersonal, communication skills Excellent written and verbal communication skills A passion for continuous improvement and innovation Qualification and Experience Requirements: Minimum Bachelor’s degree required; degree in Education, or related field preferred. 10-12 years of experience in education service delivery Prior experience in academic or vocational education credentialing or education regulatory domains is preferred. Knowledge of qualification frameworks of different countries and credential databases is an advantage. Willing to work extended hours when required to meet deadlines.

Key Responsibilities: Clinical Governance & Patient Care Ensure delivery of safe, ethical, evidence-based, and patient-centric care across all departments. Coordinate with HODs and clinical leaders to standardize care protocols and clinical audits. Monitor clinical outcomes and patient safety indicators (e.g., mortality, infection rates, near-miss events). Lead morbidity and mortality meetings and oversee clinical reviews. Hospital Administration Supervise day-to-day operations of medical and paramedical departments. Ensure optimal resource utilization, including beds, ICU, diagnostics, and operation theatres. Facilitate medical staff scheduling, leave planning, and contingency planning. Ensure coordination between clinical and non-clinical departments (nursing, pharmacy, diagnostics, etc.) Regulatory Compliance & Accreditation Ensure compliance with the Clinical Establishments Act, MCI/NMC guidelines, Biomedical Waste Rules, PCPNDT, and local health laws. Lead the hospital’s efforts for NABH, NABL, and other quality accreditations. Ensure maintenance of statutory records, licenses, and certifications. Medical Staff Management Supervise medical workforce credentialing, privileging, and performance evaluation. Facilitate recruitment, onboarding, and mentoring of doctors and consultants. Address grievances and disciplinary issues related to clinical staff. Organize Continuing Medical Education (CME), training, and skill development programs. Liaison & Representation Act as the hospital's medical spokesperson when needed. Interface with government authorities, medico-legal entities, insurance TPAs, and other healthcare providers. Handle medico-legal cases and coordinate with legal teams as required. Key Competencies: Leadership & people management Decision-making under pressure Strategic thinking and operational execution Knowledge of healthcare regulations and hospital accreditation Excellent communication and conflict-resolution skills Educational Qualification: MBBS with MD (Hospital Administration) or MHA or MBA in Hospital Management A minimum of 3 years experience in handling Medical Services is a must Should be able to commute or relocate to the location(Yelahanka, Bangalore) Should be able to join within 30 days Job Type: Full-time Pay: ₹1,200,000.00 - ₹1,800,000.00 per year Benefits: Cell phone reimbursement Health insurance Leave encashment Provident Fund Ability to commute/relocate: Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (Required) Application Question(s): Current CTC Expected CTC Notice Period Education: Master's (Required) Experience: Medical administration: 3 years (Required) Language: English, Kannada, Hindi (Preferred) License/Certification: KMC / NMC registration (Required) Work Location: In person

Tips: Responsible for ensuring healthcare providers are appropriately credentialed (verified and qualified) and privileged (authorized for clinical duties) per hospital bylaws, regulatory standards, and patient safety requirements. They play a critical role in onboarding providers who are competent and legally permitted to deliver care. Responsibilities Verify provider qualifications education, training, board certification, licensure, work history, references, background checks, NPDB/Federal exclusion data. Process pre‑applications and full applications per hospital medical staff bylaws; manage disenrollment, appeals, or re‑credentialing processes. Collect and review provider requests for clinical privileges (scope of procedures/services) Evaluate documentation such as procedure logs, peer reviews, proctoring reports, performance data Need to any one Application Knowledge, 1. Med Trainer 2. Credential Stream (HealthStream) 3. Verity Stream 4. MedQPro