Operations

• Prepare and maintain provider enrollment applications (CAQH, PECOS, Medicaid portals, commercial payers).
• Track credentialing and re-credentialing timelines, ensuring timely renewals.
• Maintain accurate provider files and credentialing databases.
• Support contracting submissions and documentation for Medicare Advantage and commercial payers.
• Track contract status, effective dates, and reimbursement schedules.
• Verify patient eligibility and benefits prior to appointments.
• Assist with documentation of member responsibility and coverage rules.
• Maintain trackers, dashboards, and reports for credentialing, contracting, and eligibility.
• Support compliance and quality programs by ensuring documentation accuracy.

Practice Operations Coordinator – Credentialing Focused

Senior Healthcare Analyst – ACO, Primary Care Operations

Vice President, Commercial Operations

Manager, Operations Implementation, Health Plan

Senior Manager, Infrastructure Operations

Senior Director, Facilities Operations