7 Provider Contracting Jobs

Role Overview: As a Prospective Chart Review Quality Auditor at AHIPL Agilon Health India Private Limited, your main responsibility will be to perform audits of pre-visit medical record reviews to identify chronic conditions reported in prior years and conditions that lack supporting documentation. You will also be evaluating suggestions or clinical alerts presented by Prospective Chart reviewers, ensuring that these suggestions meet specificity requirements to support clinical indicators and comply with Risk Adjustment documentation standards. Additionally, you will conduct reviews and communicate feedback to professionals such as Clinical Chart Reviewers and third-party vendors, as well as...

Job Title: Director of IT - Provider Team Department: Information Technology Summary: The Director of IT - Provider Team is a key leadership role responsible for the successful delivery of application development projects and programs within the Payor - Provider domain. This role requires a strong technical background, proven leadership skills, and extensive delivery experience in the US Healthcare Payer industry, particularly within the Provider domain. The Director will lead a team of Developers, Product Owners, and Business Analysts, ensuring alignment with organizational goals and effective resource utilization. Operating in a matrixed environment, the Director will be a skilled relation...

Medical Provider Enrollment Specialist (Permanent Work-From-Home) About the Role: We are seeking experienced Medical Provider Enrollment Specialists with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients. Attention to detail and the ability to flawlessly complete tasks within set deadlines are essential for this position. Key Responsibilities: Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and co...

We are looking for experienced Credentialing & Enrollment Specialists who have experience in the end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. About the Role Specialists applying for this role must be extremely comfortable working remotely and be willing to make extra efforts to communicate/engage with our credentialing team and clients as well as be able to ensure client work packages are completed flawlessly. This position requires complex levels of organizational skills and the ability to complete assigned tasks within the allotted time to do so. Responsibilities Minimum of 2 years experience in provider credentialing and ...

Huge HIRING Experienced Provider Enrollment of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile Must have minimum 9 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers 3 plus Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Should have experience in handling team of 25 to 100 employees Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (5:30 PM t...

Huge HIRING Experienced Provider Enrollment QA of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile Must have minimum 5 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers Must have one year experience as QA 3 - 5 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (5:30 PM to 2:30 AM). Good typing s...

Huge HIRING Experienced Provider Enrollment of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile Must have minimum 2 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers 2 - 5 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (5:30 PM to 2:30 AM). Good typing skills with a speed of min 30-35 words /...