1 jobs found in Pittsburg, CA

At NorthBay Health, the Managed Care Analyst is responsible for supporting provider enrollment, contracting and contract performance initiatives. The position is responsible for supporting process improvement for all managed care activities as well as overseeing the implementation and on-going support of the Experian and EPIC contract management applications.   PRIMARY JOB DUTIES Serves as a resource in credentialing standards for NCQA, CMS, Medi-Cal, medical group affiliates and health plans.  Monitors current regulations and enrollment guidelines for payers of all current and future healthcare services.  Proficient in PECOS, PAVE, CAQH, Better Doctors, MD-Staff and other credentialing and enrollment software and websites, and other tools required to enroll, credential and terminate providers. Supports, as needed, enrollment activities and tracks progress toward established timelines. Coordinates the contract...