103 Results for

Credentialing Specialist Jobs in Massachusetts

Jobs

Stockbridge, MA30+ days ago

Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region.

Worcester, MA30+ days ago

Agawam, MA30+ days ago

New!

Brighton, MA1 day ago

$2,666.29–$2,666.29

If you’ve got: 2+ years of experience in your specialty An active RN license BLS certification from the American Heart Association And a love for nursing (plus a little sense of adventure!) . Pay That’s Worth Your Time: We offer competitive pay packages, weekly direct deposit, and a dedicated payroll specialist who’s always just a message away.

Cambridge, MA30+ days ago

Remote

$26.44–$43.27 Per Hour

Employment: Full-time Hours/Week: 40 Shift: Day Category: Credentialing / Medical Staff Services Pay Range: $26.44 - $43.27 FLSA: Non-Exempt Req ID: JR90859 330 Mount Auburn Street, Cambridge, MA, 02140 Get directions Get Directions Mount Auburn Hospital 330 Mount Auburn Street, Cambridge, MA 02140 Start Mode Car Transit Bike Walk Transit Bus Subway Train Tram Rail Default Fewer transfers Less walking Avoid Tolls Highways Ferries G Google Maps Apple Maps Waze Apple Maps doesn't support Bike mode; we'll open Driving. We believe in equal access to quality care, as well as employment and advancement opportunities encompassing the full spectrum or human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of group and individual identity and expression that make us better able to provide innovative and cutting-edge healthcare and research.

Boston, MA9 days ago

Remote

$43–$56 Per Hour

Responsibilities:Credentialing & Provider EnrollmentManage end-to-end provider credentialing and re-credentialing activities in accordance with NCQA, URAC, CMS, and payer-specific requirements. Verify provider credentials, including licensure, DEA registrations, board certifications, malpractice coverage, education, training, and work history through primary source verification.

Beverly, MA18 days ago

Remote

Strong communication skills (candidates, hiring managers, internal teams). Comfortable working cross-functionally with HR, TA, payroll, and clinic leadership.

Lawrence, MA7 days ago

$24.39–$36.59 Per Hour

Ensures accurate, complete and timely functioning of the new appointment and reappointment processes for physicians and advanced practice professionals through primary source verification and preparation of complete files for review by the Medical Staff and Hospital Board. Merrimack Health is a private, non-profit community hospital providing the Merrimack Valley southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family.

Lawrence, MA7 days ago

$24.39–$36.59 Per Hour

Lawrence, MA7 days ago

$24.39–$36.59 Per Hour

Somerville, MA22 days ago

$25.50–$36.49 Per Hour

The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Communicate with internal and external physicians, allied health professionals, other healthcare professionals and managers regarding questions or issues in an effort to gather and maintain credentialing information.

Boston, MA18 days ago

$22–$24

Maintain a consistent onboarding experience for applicants across all Home Health roles and markets including credentialing, screening for experience and nurturing candidates through their first worked experience. Following the merger of SnapCare and connectRN, we are building a stronger, more innovative healthcare workforce platform focused on improving care delivery nationwide.

Boston, MA21 days ago

$22–$24 Per Hour

Boston, MA30+ days ago

$28.94–$51.83 Per Hour

The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.

Lawrence, MA7 days ago

$24.39–$36.59 Per Hour

Ensures accurate, complete and timely functioning of the new appointment and reappointment processes for physicians and advanced practice professionals through primary source verification and preparation of complete files for review by the Medical Staff and Hospital Board. Merrimack Health is a private, non-profit community hospital providing the Merrimack Valley & southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family.

Lawrence, MA7 days ago

$24.39–$36.59 Per Hour

Ensures accurate, complete and timely functioning of the new appointment and reappointment processes for physicians and advanced practice professionals through primary source verification and preparation of complete files for review by the Medical Staff and Hospital Board. Merrimack Health is a private, non-profit community hospital providing the Merrimack Valley & southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family.

Lawrence, MA7 days ago

$24.39–$36.59 Per Hour

Ensures accurate, complete and timely functioning of the new appointment and reappointment processes for physicians and advanced practice professionals through primary source verification and preparation of complete files for review by the Medical Staff and Hospital Board. Merrimack Health is a private, non-profit community hospital providing the Merrimack Valley & southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family.

New!

Worcester, Massachusetts2 days ago

Remote

$20–$24 Per Hour

The Credentialing & Enrollment Specialist is responsible for managing internal credentialing and payer enrollment processes to ensure healthcare providers are approved and participating with payer networks. The specialist works closely with cross-functional teams and reports to departmental leadership while supporting broader organizational needs.

West Springfield, MA23 days ago

$24–$30 Per Hour

Position Overview: The Facility Credentialing Specialist supports credentialing and re-credentialing activities for healthcare providers across multiple states, including anesthesiologists, CRNAs, nurse practitioners, and other allied health professionals. The ideal candidate is highly organized, detail-oriented, and technologically proficient, with experience managing credentialing workflows through electronic credentialing platforms and facility portals.

MA22 days ago

$21.39–$30.05 Per Hour

Requires an individual with strong organizational skills, detail oriented with an ability to work in varied and busy atmosphere and an individual who can independently organize and prioritize the workload to support the goals of the Boston Medical Center Health System. Ability to work well with all levels of personnel to establish and maintain harmonious working relationships with providers, chiefs of service, department directors and administrative staff and outside agencies.

Woburn, Massachusetts18 days ago

Minimum 1–3 years of healthcare administration, medical staff services, credentialing, provider enrollment or related experience; 2 years in a hospital MSO or CVO environment preferred. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

Lawrence, MA28 days ago

$25.03–$37.55 Per Hour

Reporting to the Executive Director of the Provider Network, this position will be working alongside the network credentialing manager to provide support to credentialing efforts and complete administrative support duties to Medical Affairs. Aid in the provider contracting processes, call schedules, compensation metrics, and medical directorship workflows in collaboration with legal, HR, and physician services leadership in support of the Medical Affairs office.

Lawrence, MA28 days ago

$25.03–$37.55 Per Hour

Burlington, MA30+ days ago

$21–$28.26 Per Hour

Under direction from the Manager, Health Information Management, a Lead Health Information Management Audit Specialist collaborates closely with other departments/teams to provide efficient and thorough healthcare claims auditing requirements for Beth Israel Lahey Health (BILH) and its affiliates. Researches cases, transfers documentation to electronic media, updates the intra-departmental database, communicates issues and findings to the Director of Internal Audit/Compliance, Director of Case Management, and Coding Manager as appropriate.

Jamaica Plain, MA30+ days ago

$84,579–$109,959 Per Year

Safety and Occupational Health Management Series, 0018 Individual Occupational Requirements: Education: Undergraduate and Graduate Education: Major study -- safety or occupational health fields (safety, occupational health, industrial hygiene), or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following (or closely related) disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology. Open to Career transition (CTAP, ICTAP, RPL), Individuals w/disabilities; Federal employees serving in Competitive Service on Career or Career-Conditional appointment or the Excepted Service w/Interchange Agreement; Permanent Title 38 employees employed full time; Former federal employees eligible for reinstatement; 30% Disabled Veteran, Veteran Recruitment Appointment, Veteran Employment Opportunities Act, or completion of service in the Peace Corp, Military spouse, Family of overseas employees.

Boston, MA13 days ago

$127,829–$197,200 Per Year

College Transcripts and Foreign Education: Applicants who have completed part or all of their education outside the U.S. must have their foreign education evaluated by an accredited organization to ensure that it is comparable to the education received in accredited educational institutions in the U.S. For a listing of services that can perform this evaluation, visit the National Association of Credential Evaluation Services website. The Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS) works in partnership with the entire health care community to improve quality and efficiency in an evolving health care system and provides leadership in the broader health care marketplace.

Swansea, MA21 days ago

$22–$27 Per Hour

What You'll DoDeliver 1:1 ABA therapy sessions under BCBA supervisionUse play, movement, and creativity to engage childrenCollect accurate session data and progress notesApply feedback and coaching to strengthen clinical skillsCollaborate with teammates and supervisors to support each child's successHelp maintain a safe, organized, and engaging therapy environmentHow Success Is MeasuredSuccess in this role is defined by:Consistent, compassionate engagement with childrenAccurate data collection and follow-throughOpenness to feedback and skill developmentTeam collaboration and reliabilityProfessionalism and positive attitude____ Pay Ranges (Based on Education & Experience)High School Diploma / Associate's Degree: $21.00 - $26.00/hourBachelor's Degree: $22.00 - $26.00/hourAdditional factors that may increase starting pay include:Prior experience working in ABA or related behavioral health settingsHigher levels of education or relevant courseworkFluency in additional languages that support the families we serveAdvanced certifications or specialized training (e.g., RBT certification)____ QualificationsMinimum age of 18High School diploma or GED requiredAbility to meet the physical demands of the role, including:Lifting and carrying up to 50 lbsBending, kneeling, squatting, and transitioning between activities and locations throughout the sessionResponding appropriately to challenging behaviors, which may include aggression, elopement, or self-injurious behaviorsReliable transportation and valid driver's licenseWillingness to support coverage at nearby centers if neededNo prior ABA experience required - we train you____ Experience That Transfers WellChildcare or education (nanny, preschool teacher, tutor, paraprofessional)Special education, psychology, sociology, or related studiesMental health or human services rolesCamp counselor, volunteer, or youth program experience____ Why CAS Is DifferentWe intentionally design BT roles that:Offer stability without burnoutProvide real training-not just shadowingCreate clear paths for growth and advancementRecognize and reward your impact____ Not Ready to Make the Jump - but Know Someone Who Is? The CAS ExperienceWhat working as a Center-Based Behavior Technician looks likeSchedule & StabilityFull-time, center-based roleMust be comfortable providing a portion of services in home and/or community settings, as needed to meet MassHealth requirementsPredictable weekday schedulesGuaranteed hours, even if sessions are rescheduledConsistent routines and team collaborationTraining, Support & GrowthPaid onboarding and hands-on trainingOngoing supervision from experienced BCBAsPaid RBT certification (training, exam, and supervision included)Tuition reimbursement and professional development opportunitiesClear skill-based pathways for advancementRegular feedback and coaching to help you growRecognition & Team CulturePerformance-based pay increases every 6 monthsAnnual bonuses for eligible BTs and RBTsTeam appreciation weeks, celebrations, and local eventsA culture built on teamwork, inclusion, and encouragement____ Role OverviewAs a Center-Based Behavior Technician, you'll work directly with young children (typically ages 18 months-6 years) to support skill development through play-based, individualized ABA therapy.

Brockton, MA21 days ago

$22–$27 Per Hour

Prospect Mundelein Naperville New Lenox North Aurora North Chicago Northbrook Oak Brook Oak Forest Oak Lawn Oak Park Oaklawn O'Fallon Orland Park Oswego Palatine Pana Plainfield Plano Posen Prospect Heights Richton Park Rockford Romeoville Roselle Round Lake Roxana Saint Anne Saint Charles Sangamon Schaumburg Schiller Park Shabbona Shorewood Skokie Smithton South Holland Southwestern area St. ABA ServicesBehavioral/Autism SupportCorporate ServicesMental Health ServicesNursing/Support ServicesOther Teaching ServicesSchool Psychology ServicesSchools, Clinic & Community ServicesSpecial Education TeachingSpecial Education Teaching ServicesSupervision JobsTherapy Services.

Westwood, MA30+ days ago

$25–$38 Per Hour

Preferred Qualifications: Knowledge of Medicare, Medicaid and health plan credentialing, recredentialing and enrollment process; licensure requirements and regulations of various agencies such as the board of Registration in Medicine, American Board of Medical Specialties and Individual Specialty Boards preferred normally acquired through related work experience. Ensure that proper documents are obtained from the groups, coordinate with local community hospitals to determine hospital privileges and obtain relevant documents, review pre-BIDCO plan status and coordinate with management the timing of new entities into BIDCO.

Somerville, MA27 days ago

$79,560–$115,720.80 Per Year

Program Specialist will work directly with the three Chief Advanced Practice Officers (CAPPOs) of Academic Medical Centers (AMCs) and Community Division, including Mass General Hospital/MEE and Brigham and Women's Hospital/Brigham and MGB community hospitals, supporting system level initiatives. The Sr Program Specialist serves as the key lead within the OCMO and CAPPO to whom all internal and external MGB stakeholders look for organizational planning and brings vision, efficiency, imagination, and significant demonstrated experience leading, managing, and building teams of significant scope and complexity.

MA14 days ago

$19.10–$22.50 Per Hour

Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.

Boston, MA30+ days ago

The role of the Nursing Professional Development Specialist for Oncology & Infusion Center encompasses employee orientation, development, coordination and implementation of a variety of education programs; assessment and maintenance of staff competency and involvement in quality improvement and research utilization to enhance patient care. For over 150 years, our top doctors, nurses and staff have served the Greater Boston area by providing accessible care for everyone, providing not only traditional medical care, but also programs and services that wrap around that care to enhance overall health.

Framingham, MA30+ days ago

The Psychiatric Clinical Nurse Specialist/Psychiatric Nurse Practitioner (CNS/NP) is responsible for providing direct service to patients of Advocates Behavioral Health Division and to consult with other staff on the design of treatment plans, clinical problems, and related issues. Advocates fosters a culture of inclusion that celebrates and promotes diversity along multiple dimensions, including race, ethnicity, sex, gender identity, gender expression, sexual orientation, partnered status, age, national origin, socioeconomic status, religion, ability, culture, and experience.

Boston, MA7 days ago

$84,579–$109,959 Per Year

To qualify for the GS-11, you must meet A, B or C as follows: A. At least one year of specialized experience, equivalent to at least the GS-09 grade level in the Federal service, that demonstrates the ability to plan and coordinate program activities and the ability to make decisions; the ability to communicate orally and to meet and deal; the ability to assemble data, analyze management problems and recommend solutions; the ability to research, interpret and apply regulatory and precedent material; the ability to communicate in writing; and the ability to interpret statistical data. You will be assessed on the following job-related competencies (knowledge, skills, abilities, and other characteristics): Non-Supervisory: Oral Communication, Writing, Interpersonal Skills, Problem Solving, Teamwork, Technology Orientation, Customer Service, Attention to Detail and Self-Management.

New!

Massachusetts, MA6 days ago

$63,648–$90,750.40 Per Year

Reporting to the Senior Program Manager, Cardiothoracic Surgery, the Compliance & Education Specialist serves as the regulatory and accreditation leader for all Cardiothoracic Surgery education programs across Mass General Brigham (MGB), including the integrated Cardiothoracic Surgery Residency and associated fellowship and medical student programs. Offer letters: Create letter with Program Manager with appropriate details such as start/end dates, funding source, pay scale and moonlighting/call details and send to appropriate admin(s) for signature; send to trainee; submit fully executed document to Program Manager and trainee file.

Boston, MA11 days ago

$147,945–$197,200 Per Year

If you are claiming Veterans Preference, you must submit: A copy of your DD-214 that shows active service and character of discharge, OR A certification of expected discharge or release from active duty under honorable conditions within 120 days from the date of application (Current Active Duty Members only); AND/OR The Application for 10-Point Veteran Preference (SF-15) AND all documents indicated on the form as proof of type of preference; AND/OR Proof of Sole Survivorship Preference (e.g., certificate of death or 100% disability as a result of serving in the armed forces). Customer Service - Works with clients and customers (i.e., any individuals who use or receive the services or products that your work unit produces, including the general public, individuals who work in the agency, other agencies, or organizations outside the Government) to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations; knows about available products and services; is committed to providing quality products and services.

Wellesley, MA30+ days ago

$83,242–$133,193 Per Year

The role supports and troubleshoots interfaces across healthcare systems, including Epic (Epic Bridges certification preferred), Meditech, Quest Diagnostics, Athena, eCW, AllScripts, and Cerner, while partnering with application teams and vendors, administering test plans and scripts, providing operational reporting, and supporting daily interface operations in a healthcare environment. Responsibilities include specifying and designing interface architecture; developing, testing, validating, documenting, and monitoring HL7 interfaces using an integration engine such as Corepoint; supporting web services (SOAP) interfaces; and working with XML, CCDA, IHE, TCP/IP, SFTP, FTP, SSH, and authentication and credentialing (security).

Boston, MA15 days ago

$90,000–$100,000 Per Year

The Advanced Procedural Specialist (APS) is responsible for providing minimally invasive surgical solutions to hospitals with an immediate focus on the GelPOINT V-Path Transvaginal Access Platform, GelSeal technologies, and identifying colorectal and GYN surgeons. Our dedication to delivering the highest quality products combined with our unique business model allows our team members the ability to truly partner with hospital accounts and contribute in a larger capacity than is possible in most sales positions.

Somerville, MA23 days ago

$63,648–$90,750.40 Per Year

The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Responsible for managing the end-to-end credentialing process for physicians and advanced practice providers, ensuring confidentiality, regulatory compliance, and coordination with hospital leadership and committees.

Boston, Massachusetts28 days ago

Program Specialist will work directly with the three Chief Advanced Practice Officers (CAPPOs) of Academic Medical Centers (AMCs) and Community Division, including Mass General Hospital/MEE and Brigham and Women’s Hospital/Brigham and MGB community hospitals, supporting system level initiatives. The Sr Program Specialist serves as the key lead within the OCMO and CAPPO to whom all internal and external MGB stakeholders look for organizational planning and brings vision, efficiency, imagination, and significant demonstrated experience leading, managing, and building teams of significant scope and complexity.

Southborough, MA30+ days ago

$45–$50 Per Hour

With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. In this position, you will be responsible for managing a set number of ALS and/or Pediatric ventilation patients within a defined territory; will be the primary contact for patient, caregiver and any other entity directly involved with the patient's ventilation care.

Boston, MA13 days ago

$51,283–$91,815 Per Year

In order to qualify for the GS-09, you must meet one of the following: Specialized Experience: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-07 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Assisting with managing a project or team; 2) assisting in the development of multimedia products for web and digital media; and 3) using different forms of communication to convey information with the immediate team, contractors, or other stakeholders on the delivery of digital services. College Transcripts and Foreign Education: Applicants who have completed part or all of their education outside of the U.S. must have their foreign education evaluated by an accredited organization to ensure that the foreign education is comparable to education received in accredited educational institutions in the U.S. For a listing of services that can perform this evaluation, visit the National Association of Credential Evaluation Services website.

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Credentialing Specialist Jobs in Massachusetts

Child Life Specialist - FT Days - Pediatrics and PICU - Stockbridge Lehigh Valley Health Network

Child Life Specialist - FT Days - Pediatrics and PICU - Boylston Lehigh Valley Health Network

Child Life Specialist - FT Days - Pediatrics and PICU - Agawam Lehigh Valley Health Network

Travel Nurse RN - Case Manager - $2,666 per week in Brighton, MA Openwork Health

Credentialing Specialist, Medical Staff Office Lahey Hospital and Medical Center

Certified Provider Credentialing Specialist (CPCS) - #26-13780 US Tech Solutions, Inc.

Temp - Administrative - Credentialing Specialist (Days) Beverly, MA IMCS Group Inc

Credentialing Specialist 40hrs 8am-4:30 Days Lawrence General Hospital

Credentialing Specialist Lawrence General Hospital

Credentialing Specialist 40hrs 8am-4:30pm Days Lawrence General Hospital

Credentialing Specialist Brigham and Women's Hospital

Credentialing Specialist SnapCare

Credentialing Specialist SnapMedTech Inc

Credentialing Specialist - Massachusetts UnitedHealth Group Inc

Credentialing Specialist 40hrs 8am-4:30pm Days Merrimack Health

Credentialing Specialist 40hrs 8am-4:30 Days Merrimack Health

Credentialing Specialist Merrimack Health

Credentialing Specialist ($20-$24) Ultimate Staffing Services

Facility Credentialing Specialist (Part-time) Coronis Health LLC

Credentialing & Enrollment Coordinator Boston Medical Center

Medical Staff Office Specialist Beth Israel Lahey Health

Provider Enrollment Specialist Merrimack Health

Provider Enrollment Specialist Lawrence General Hospital

Lead Health Information Management Audit Specialist (On-Site) Lahey Hospital and Medical Center

Safety & Occupational Health Specialist U.S. Department of Veterans Affairs

Supervisory Health Insurance Specialist (Branch Manager) US Department of Health and Human Services

Behavior Support Specialist The Stepping Stones Group LLC

After School Behavior Support Specialist The Stepping Stones Group LLC

Sr. Enrollment Specialist Lahey Hospital and Medical Center

Senior Program Specialist, Office of the Chief APP Officers Brigham and Women's Hospital

Provider Enrollment Specialist II - Full Time Experity Inc

Nursing Professional Development Specialist Oncology & Infusion Boston Medical Center

Psychiatric Clinical Nurse Specialist/Psychiatric Nurse Practitioner (CNS/NP) ADVOCATES, INC

Passport Specialist US Department of State

Cardiothoracic GME Compliance and Education Specialist Brigham and Women's Hospital

IT Specialist (ENTARCH) "AI Solutions Architect" GS-2210-15 FPL GS-15 (DH) U.S. Department of Education

Applications Development Specialist II (Pediatric Physicians'''' Org.) Boston Children's Hospital

Advanced Procedure Specialist New England North Applied Medical Resources Corp

Medical Staff Specialist Brigham and Women's Hospital

Senior Program Specialist, Office of the Chief APP Officers Mass General Brigham

Respiratory Therapist Ventilator Patient Specialist (Boston Area) Rotech Healthcare Inc.

Product Development Specialist US Department of Health and Human Services

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