Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Associate Specialist, National Credentialing
Long Beach, CA · On-site +1
$13.41 - $29.06/hr
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Associate Specialist, National Credentialing
Long Beach, CA · On-site +1
$13.41 - $29.06/hr
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Associate Specialist, National Credentialing
Long Beach, CA · On-site +1
$13.41 - $29.06/hr
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Associate Specialist, National Credentialing
Long Beach, CA · On-site +1
$13.41 - $29.06/hr
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Associate Specialist, National Credentialing
Long Beach, CA · On-site
$13.41 - $29.06/hr
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Associate Specialist, National Credentialing
Long Beach, CA · On-site
$13.41 - $29.06/hr
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Associate Specialist, National Credentialing
Long Beach, CA · On-site +1
$13.41 - $29.06/hr
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Associate Specialist, National Credentialing
Long Beach, CA · On-site +1
$13.41 - $29.06/hr
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management criteria ...
Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management criteria ...
Associate Specialist, National Credentialing - Remote
Long Beach, CA · On-site +1
$13.41 - $29.06/hr
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Associate Specialist, National Credentialing - Remote
Long Beach, CA · On-site +1
$13.41 - $29.06/hr
Job Summary Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management ...
Title: BI Developer/SQL Developer Requirement: - Entry level experience in any databases is ... Other Opening we have are:- SQL Developer BI Developer DA QA My credentials are given below:
Title: BI Developer/SQL Developer Requirement: - Entry level experience in any databases is ... Other Opening we have are:- SQL Developer BI Developer DA QA My credentials are given below:
Title: BI Developer/SQL Developer Requirement: - Entry level experience in any databases is ... Other Opening we have are:- SQL Developer BI Developer DA QA My credentials are given below:
Title: BI Developer/SQL Developer Requirement: - Entry level experience in any databases is ... Other Opening we have are:- SQL Developer BI Developer DA QA My credentials are given below:
$18.70 - $22.27/hr
Target Level: $ 22.27 Intermediate Level: $19.82 Entry Level: $ 18.70 Learn more about this agency ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
$18.70 - $22.27/hr
Target Level: $ 22.27 Intermediate Level: $19.82 Entry Level: $ 18.70 Learn more about this agency ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Entry Level Water/ Wastewater Engineer
$82.42K - $84.92K/yr
... other credential verification, driving record check, criminal background check, and an ... Our entry-level program comes together on a regular basis for professional development events and ...
Entry Level Water/ Wastewater Engineer
$82.42K - $84.92K/yr
... other credential verification, driving record check, criminal background check, and an ... Our entry-level program comes together on a regular basis for professional development events and ...
Entry Level Water/ Wastewater Engineer
Manteca, CA · On-site
$82.42K - $84.92K/yr
... other credential verification, driving record check, criminal background check, and an ... Our entry-level program comes together on a regular basis for professional development events and ...
Entry Level Water/ Wastewater Engineer
Manteca, CA · On-site
$82.42K - $84.92K/yr
... other credential verification, driving record check, criminal background check, and an ... Our entry-level program comes together on a regular basis for professional development events and ...
Target Level: $ 24.12 Intermediate Level: $ 22.56 Entry Level: $18.70Qualifications: Who May Apply ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Target Level: $ 24.12 Intermediate Level: $ 22.56 Entry Level: $18.70Qualifications: Who May Apply ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Target Level: $ 25.37 Intermediate Level: $ 23.73 Entry Level: $ 18.70Qualifications: Who May Apply ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Target Level: $ 25.37 Intermediate Level: $ 23.73 Entry Level: $ 18.70Qualifications: Who May Apply ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Target Level: $ 25.37 Intermediate Level: $ 23.73 Entry Level: $ 18.70Qualifications: Who May Apply ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Target Level: $ 25.37 Intermediate Level: $ 23.73 Entry Level: $ 18.70Qualifications: Who May Apply ... You must show proof the education credentials have been deemed to be at least equivalent to that ...
Entry-Level Criminal Defense Attorney
$100K - $120K/yr
We are currently seeking a highly motivated, entry-level attorney to join our growing litigation ... credentials will also be considered). * Demonstrated Interest: A sincere commitment to criminal ...
Quick apply
Entry-Level Criminal Defense Attorney
$100K - $120K/yr
We are currently seeking a highly motivated, entry-level attorney to join our growing litigation ... credentials will also be considered). * Demonstrated Interest: A sincere commitment to criminal ...
This is a great entry-level opportunity for individuals looking to build a career in the cannabis ... From on-demand gig workers to trained & credential full-time employees, Vangst has built the ...
Quick apply
This is a great entry-level opportunity for individuals looking to build a career in the cannabis ... From on-demand gig workers to trained & credential full-time employees, Vangst has built the ...
Entry Level Credentialing information
What are the most commonly searched types of Credentialing jobs in California? The most popular types of Credentialing jobs in California are:
Full-time
Posted 23 days ago
Molina Healthcare rating
8.0
Based on 191 frontline employees who took The Breakroom Quiz
145th of 259 rated insurance
Job description
JOB DESCRIPTION Job Summary
Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management criteria - effectively minimizing liability to the company and maximizing safety for members. Responsible for initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations in the Molina network.
Essential Job Duties
Evaluates credentialing applications for accuracy and completeness based on differences in provider specialty and obtains required verifications as outlined in Molina policies/procedures and regulatory requirements, while meeting production goals.
Communicates with health care providers to clarify questions and request any missing information.
Updates credentialing software systems with required information.
Requests recredentialing applications from providers and conducts follow-up on application requests, following department guidelines and production goals.
Collaborates with internal and external contacts to ensure timely processing or termination of recredentialing applicants.
Completes data corrections in the credentialing database necessary for processing of recredentialing applications.
Reviews claims payment systems to determine provider status, as necessary.
Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals.
Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have sanctions/exclusions.
Reviews and processes daily alerts for Medicare opt-out reports to determine if any provider has opted out of Medicare.
Reviews and processes daily National Practitioner Data Bank (NPDB) continuous query reports and takes appropriate action when new reports are found.
Maintains a high level of confidentiality related to provider information.
Required Qualifications
At least 1 year of experience in a data processing, production, and/or administrative role - preferably in a health care setting, or equivalent combination of relevant education and experience.
Data entry skills.
Self-direction and logical thinking abilities.
Internet research experience.
Ability to work cross-collaboratively in a highly matrixed organization with internal/external stakeholders.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
Health care industry experience.
Production-related experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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About Molina Healthcare
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980