$38.09 - $46.32 hourly
NorthBay Health
Fairfield, CA
At NorthBay Health, the Provider Enrollment analyst is responsible for all Medical Staff and Allied Health Practitioner (AHP) heal plan credentialing and recredentialing with government and commercial health plans. The position is responsible for enrollment, credentialing and termination of NorthBay physicians/providers with NorthBay's contracted health plan partners. This position maintains rosters and functionality that support a compliant provider enrollment process. Additional role responsibilities include compiling and distributing periodic reports, both within the department and throughout the organization as well as investigating and resolving provider enrollment issues. Servies as a resource related to the National Committee for Quality Assurance (NCQA).
PRIMARY JOB DUTIES
Responsible for all enrollment functions, credentialing and termination of providers and select contracted specialists.
Serves as a resource...