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Cardinal Health
Coordinator, Managed Care, Credentialing
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What they do
A Network Analyst or Specialist plans, implements, tests and maintains computer systems within a company. Analyses businesses to identify problems and recommends suitable technical solutions.
$116,730 / year median in Maryland
-22% projected decline
Job Description
US-Nationwide-FIELD Full time 20184974
- Coordinator, Managed Care, Credentialing
- _What Managed Care contributes to Cardinal Health_
- Practice Operations Management oversees the business and administrative operations of a medical practice.
- _Responsibilities_
- Responsible for documenting and tracking all credentialing/enrollment, re-credentialing/re-enrollment, and hospital privileging activities within the credentialing platform
- Maintain and monitor all licenses and certifications in the credentialing platform to ensure compliance within all regions.
- Participate in training sessions and special projects such as learning new system workflows, completing required training, and adopting updated processes within established timeframes.
- Coordinate provider enrollment activities (including initial enrollments or re-credentialing) for all groups and providers.
- Ensure all facility and provider licenses and certifications are accurate and in good standing at all times.
- Complete all forms and supporting documents required to obtain hospital privileges for physicians, as necessary.
- Ensure that all processing and reporting deadlines are consistently achieved.
- Meet regularly with Credentialing Supervisor and other team members to provide updates on progress and status of credentialing and enrollment matters.
- Performs any other functions as required by management.
- _Qualifications_
- At least three (3) years of experience of credentialing or payer enrollment experience in a managed care or provider setting, including experience using a credentialing database.
- Specific knowledge of the payer environment and payer issues
- Ability to work a flexible schedule (including overtime, and weekends), as necessary.
- Excellent customer service and communication skills.
- Ability to work independently and as part of a team.
- Working experience with Excel spreadsheets and Microsoft Word documents.
- College degree or commensurate working experience in healthcare.
- Knowledge of basic medical terminology.
- Credentialing database experience (such as IntelliCred, E-Vips, Vistar, Cactus, Symed, etc.)
- _What is expected of you and others at this level_
- Applies acquired job skills and company policies and procedures to complete standard tasks
- Works on routine assignments that require basic problem resolution
- Refers to policies and past practices for guidance
- Receives general directions on standard work; receives detailed instruction on new assignments
- Consult with supervisor or senior peers on complex and unusual problems
Anticipated Pay Range:
- $18.20 - $29.70
- Bonus eligible:
- No •
Benefits:
- Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs
- Application window anticipated to close. 09/05/26
- if interested in opportunity, please submit application as soon as possible.