Top 1172 Credentialing manager Jobs in El Segundo, Ca

Credentialing Manager
Behavior Frontiers —El Segundo, CA
- $75,000 - $85,000 a year
- Full-time
- Current TB test
- Research
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Billing Support Operations Manager (Remote)
Rula —Los Angeles, CA
- $116,195 - $129,865 a year
- Full-time
- Remote
- 5 years
- Experience equivalent to degree accepted
- Senior level
- Paid parental leave
- Health savings account
Program Manager, Specialized Disability Programs
Long Beach Community College District —Long Beach, CA
- $94,879 - $129,275 a year
- Online Application
- Background check
- Experience working with individuals with disabilities
- Writing skills
- Health insurance
- Dental insurance
Manager, CS Operations
24 Hour Home Care - Corporate Division —El Segundo, CA
- $101,816 - $122,814 a year
- Hybrid work
- Spanish
- Microsoft Excel
- Microsoft Outlook
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Program Manager
Children's Hospital Los Angeles —Los Angeles, CA
- $79,934 - $137,030 a year
- Full-time
- Microsoft Word
- Microsoft Outlook
- 5 years
Dispatch Operations Manager
UCLA —Los Angeles, CA
- $70,900 - $145,200 a year
- Full-time
- Hybrid work
- Background check
- 18 years or older
- English
11d
Strategy & Operations Manager (Remote)
Rula —Los Angeles, CA
- $136,170 - $152,190 a year
- Full-time
- Remote
- SQL
- Analysis skills
- 1 year
- Paid parental leave
- Health savings account
Medical Clinic Manager
Samaritana Medical Clinic —Los Angeles, CA
- $62,400 - $72,800 a year
- Full-time
- Spanish
- CPR Certification
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Ambulance EMT Operations Manager
Essential Health —Reseda, CA
- $75,671.75 - $90,475.66 a year
- Full-time
- 5 years
- Recruiting
- Contracts
- Health insurance
- Dental insurance
Quick Apply
Accounting Operations Manager - URGENT HIRE
Prestige Legal Solutions, P.C. —Los Angeles, CA
- From $110,000 a year
- Urgently hiring
- Mid-level
- Finance
- Analysis skills
- Free parking
- AD&D insurance
Quick Apply
ABA Program Manager / Mid-Tier Supervisor
Autism Learning Partners —Culver City, CA
- $30.00 - $35.25 an hour
- 8 hour shift
- Experience working with individuals with developmental disabilities
- Current TB test
- Mid-level
- Continuing education credits
- Disability insurance
Quick Apply
Prevention and Aftercare Program Manager
SPIRITT Family Services —Bell Gardens, CA
- $80,000 - $95,000 a year
- Weekends as needed
- LMFT
- Spanish
- Current TB test
- 403(b) matching
- Paid holidays
Quick Apply
Dental Operations Manager
Confidential —Gardena, CA
- $110,000 - $120,000 a year
- Full-time
- Background check
- Spanish
- Dental office
- Health insurance
- Dental insurance
Quick Apply
2d
Assistant Program Manager DMH
Step Up on Second, Inc —Los Angeles, CA
- $80,000 - $88,000 a year
- Full-time
- Hybrid work
- Background check
- LMFT
- Psychiatry
- Paid holidays
- Health insurance
Quick Apply
Medical Case Manager- CA
Broadspire Services, Inc. —Los Angeles, CA
- $87,000 - $101,000 a year
- Full-time
- Nursing
- RN License
- Experience working with individuals with disabilities
- Paid parental leave
- Health savings account
Quick Apply
ABA Program Manager / Mid-Tier Supervisor
Autism Learning Partners —South Gate, CA
- $30.00 - $35.25 an hour
- 8 hour shift
- Experience working with individuals with developmental disabilities
- Current TB test
- Mid-level
- Continuing education credits
- Disability insurance
Quick Apply
Program Director / Clinic Manager
American Health Services LLC —Van Nuys, CA
- From $30 an hour
- Full-time
- Background check
- Addiction Medicine
- 3 years
- Health insurance
- Paid time off
Quick Apply
Area Program Manager
Redwood Family Care Network —Los Angeles, CA
- $85,000 - $89,000 a year
- Full-time
- CPR Certification
- Writing skills
- BLS Certification
Quick Apply
Senior Operations Manager
The Cheesecake Factory —Calabasas Hills, CA
- $150,000 - $190,000 a year
- Email
- Spanish
- 7 years
- Microsoft Excel
- Health insurance
- Dental insurance
Security Operations Manager
CIM Group, LP —Los Angeles, CA
- $120,000 - $135,000 a year
- Full-time
- Azure
- Salesforce
- Research
- Wellness program
- Paid parental leave
Quick Apply

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credentialing manager jobs near el segundo, ca

Credentialing Manager

Behavior Frontiers -
El Segundo, CA

Quick Apply

Job Details

Full-time
$75,000 - $85,000 a year

Benefits

Paid parental leave
Paid holidays
Health insurance
Dental insurance
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Gym membership
Opportunities for advancement
Paid sick time

Qualifications

Funder relationship management
Bachelor's degree
NCQA standards

Full Job Description

Behavior Frontiers is an industry leader in ABA (Applied Behavior Analysis) treatment for autism and other special needs. We are on a continuous journey to explore, assess, and develop only the highest quality ABA treatments and solutions delivered by best-in-class clinical professionals. We are rapidly expanding and seeking enthusiastic individuals who are ready to embark on a meaningful journey in one of the fastest growing fields in healthcare. Our Credentialing Manager position plays a critical role in our company, and we need an individual with great interpersonal skills, detail oriented, is great at multi-tasking and time management.

Hours: Full Time (Monday – Friday/40hrs a week)

Office Location: El Segundo, CA Headquarters (In-Office)

Compensation: $75,000 - $85,000 DOE

Responsibilities:

Supervise/manage the day-to-day operational functions of credentialing and recredentialing process and personnel to include workflow management, troubleshooting, log management, process updates, reporting and training.
Create and maintain individual provider files including credentialing status and supporting documentation.
Track and ensure accuracy of new/promoted provider credentialing and/or application status in database, and make updates for existing providers.
Act as a resource for other managers and coworkers and respond to internal and external requests for credentialing information and documentation.
Work closely and transparently with internal departments and external partners.
Regularly report updated provider and location rosters to funding sources and internal departments.
Support contract develop goals to include researching new funding sources, unique contracting process requirements, data gathering, forms completion, submissions, tracking, follow up and reporting.
Keep abreast of relevant legal, regulatory, and legislative changes related to credentialing, contracting and licensing.
Maintain comprehensive working knowledge of contractual relationships including credentialing and contracting requirements by funding source.
Develop and maintain positive and cooperative relationships with funding source representatives and coworkers.
Contribute to the on-going development of new funding sources.
Complete special projects as assigned.
Maintain confidentiality in matters of company operations, personnel, and clients.
Perform other duties, as assigned.

Qualifications:

3-5 years credentialing experience in the Behavior Health or related industry
Knowledge of NCQA credentialing guidelines
Experience developing and maintaining relationships with a variety of funding sources
Must be self-directed, exercise initiative, discretion and seek guidance as appropriate
Superior organizational and multi-tasking abilities with high attention to detail
Ability to make sound decisions, prioritize effectively and problem solve
Ability to effectively and professionally represent BF to funding sources and external partners
Ability to work independently in a fast-paced environment, flexible and adaptable
Excellent verbal and written communication skills
Bachelor’s degree required
Provide negative TB test results
Ability to clear FBI & DOJ fingerprinting

Why Behavior Frontiers is perfect for you:

Competitive pay with optional On-demand paychecks thru DailyPay - get paid on your own schedule!
401K Plan with company match after 6 months of employment
Paid Personal Time Off
Paid Holidays
Paid Sick Leave
Medical, Dental and Vision insurance
Opportunities for career advancement
Performance and promotion raise
Paid Maternity Leave - Up to 9 Weeks
Free Telehealth: Free 24/7 access to a doctor via telehealth for you and your dependents with no limits and no co-pays
Free Telehealth Mental Health: Free access to a mental health counselor via telehealth for you and your dependents (over age 13) with no limits or co-pays
Employee Assistance Program: Free access to some support services (financial, legal, counseling, etc.)
Fitness: Discounted monthly gym membership to 12,000 gym locations nationwide, as well as free access to workout videos
Deals: Exclusive discounts and savings to 500+ companies and more!
Travel: Discounts on travel essentials including hotels, rental cars, flights, excursions, and more!
Lab Testing Discounts: 10-80% off costs of routine lab work
New Benefits Rx: Discounts on prescription medications from 10-80% at 60,000+ locations nationwide

Why work for Behavior Frontiers? Visit our benefits & perks page to

learn more

!

Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.

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Refine Your Search

credentialing manager jobs in el segundo, ca

Credentialing Manager

Billing Support Operations Manager (Remote)

Program Manager, Specialized Disability Programs

Manager, CS Operations

Program Manager

Dispatch Operations Manager

Strategy & Operations Manager (Remote)

Medical Clinic Manager

Ambulance EMT Operations Manager

Accounting Operations Manager - URGENT HIRE

ABA Program Manager / Mid-Tier Supervisor

Prevention and Aftercare Program Manager

Dental Operations Manager

Assistant Program Manager DMH

Medical Case Manager- CA

ABA Program Manager / Mid-Tier Supervisor

Program Director / Clinic Manager

Area Program Manager

Senior Operations Manager

Security Operations Manager

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