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McLaren Integrated HMO Group
Flint, MI | Full Time
$41k-51k (estimate)
3 Weeks Ago
McLaren Integrated HMO Group
Flint, MI | Full Time
$41k-51k (estimate)
3 Weeks Ago
Coordinator Credentialing, Remote
$41k-51k (estimate)
Full Time 3 Weeks Ago
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McLaren Integrated HMO Group is Hiring a Remote Coordinator Credentialing, Remote

About Us

McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.

Coordinator Credentialing, Remote

Michigan, Flint

NEW

Non-Health Professional

McLaren Integrated HMO Group

24002672

We are looking for a Credentialing Coordinator to join us in leading our organization forward.
McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.
McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org
MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/

Position Summary:

Credentialing Coordinator is responsible for developing and maintaining a system for the credentialing of the Plan’ network delegates and providers. These functions include the responsibility of coordinating all credentialing activities on appointment and reappointment and providing resources to organizational entities. Responsible for meeting established provider credentialing timelines. Supports and coordinates credentialing activities with Provider Relations.
This position is fully remote.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

#LI-AK1

Qualifications:
Required:
  • Experience credentialing and recredentialing healthcare professional and facility providers.
  • Knowledge of credentialing standards, regulations, and best practices.
  • Experience with Medicare and Medicaid web-based enrollment applications.
  • Experience using Credentialing Software (i.e. Symplr Provider, CAQH, etc).
  • Strong attention to detail and excellent organizational skills.
  • Ability to prioritize tasks and meet deadlines in a fast-paced environment.
  • Excellent written and verbal communication skills.
  • High School diploma or equivalent (GED).
  • Four (4) years’ experience in a credentialing or medical staff coordination role.
Preferred:
  • Associate degree in business, health care or related field.
  • Current certification as Certified Professional Medical Staff Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS).
  • Previous experience in provider credentialing within a health plan and/or Medical Staff Services.
  • Knowledge of NCQA Credentialing Standards.

Additional Information

  • Schedule: Full-time
  • Requisition ID: 24002672
  • Daily Work Times: 8:30 am - 5:00 pm
  • Hours Per Pay Period: 80
  • On Call: No
  • Weekends: No
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

Job Summary

JOB TYPE

Full Time

SALARY

$41k-51k (estimate)

POST DATE

04/24/2024

EXPIRATION DATE

05/09/2024

Show more

McLaren Integrated HMO Group
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