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Credentialing Operations Lead
SUMMARY Provides support for payer/managed care, Medicare and Medicaid Enrollment operations by organizing the functions relating to the credentialing process for all applicable practitioners as identified. This position is responsible for monitoring Credentialing delegated activities while adhering to Connecticut Children’s Medical Center, federal and state regulatory/accreditation requirements and standards. Coordinates, conducts, and documents delegation and site visit assessments as necessary to comply with state, federal, NCQA and any other applicable requirements. Requires a fundamental understanding of the insurance credentialing process and terminology related to the job. REMOTING OPTION IS AVAILABLE FROM CT or MA. ROLE RESPONSIB
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