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Database developer • bakersfield ca

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C&C Manager

Accelerated Urgent CareBakersfield, CA, United States
[job_card.full_time]

The Contracting & Credentialing (C&C) Manager, under the supervision of the RCM Manger, working under the Director of Finance, is responsible for overseeing all provider and facility licensing, cre...[internal_linking.show_more]

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Remote Senior SQL Engineer - AI Trainer

SuperAnnotateRosedale, California, US
[filters.remote]
[job_card.full_time]

As a Senior SQL Engineer, you will work remotely on an hourly paid basis to review AI-generated SQL queries, database designs, and data-processing logic, as well as generate high-quality reference ...[internal_linking.show_more]

Counter Sales

AC ProBakersfield, CA , US
[job_card.full_time]

AC Pro, a family-owned business, has been providing heating and air conditioning products since 1986.Our locations in California, Nevada, Arizona, and Utah offer the best products and services in t...[internal_linking.show_more]

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Remote Senior SQL Engineer - AI Trainer

SuperAnnotateOildale, California, US
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As a Senior SQL Engineer, you will work remotely on an hourly paid basis to review AI-generated SQL queries, database designs, and data-processing logic, as well as generate high-quality reference ...[internal_linking.show_more]

Software Developer II or III – Military – Relocation Available

JT4Bakersfield, CA
[job_card.full_time]

Software Engineer II-III or Computer Scientist II-III.JOB SUMMARY - ESSENTIAL FUNCTIONS/DUTIES.The Software Engineer will work primarily within research and development engineering groups with resp...[internal_linking.show_more]

Travel Pharmacist - $3,290 per week in Bakersfield, CA

AlliedTravelCareersBakersfield, CA, US
[job_card.full_time]

AlliedTravelCareers is working with Cynet Health to find a qualified Pharmacist in Bakersfield, California, 93301!.Job Title: Pharmacist Profession: Pharmacy Specialty: Pharmacy Duration: 13 weeks ...[internal_linking.show_more]

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Remote Senior SQL Engineer - AI Trainer

SuperAnnotatePotomac Park, California, US
[filters.remote]
[job_card.full_time]

As a Senior SQL Engineer, you will work remotely on an hourly paid basis to review AI-generated SQL queries, database designs, and data-processing logic, as well as generate high-quality reference ...[internal_linking.show_more]

ERP Analyst I - Remote (One or More Positions)

InsideHigherEdBakersfield, California, United States
[filters.remote]
[job_card.full_time]

ERP Analyst I - Remote (One or More Positions).Kern Community College District.Information Technology Services.Below is our job description for this position.Important Instructions & Additional Inf...[internal_linking.show_more]

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Python/R Developer

SynergisticITBakersfield, CA, United States
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Since 2010 Synergisticit has helped Jobseekers get employed in the tech Job market by providing candidates the requisite skills, experience and technical competence to outperform at interviews and ...[internal_linking.show_more]

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Safety Systems Manager

Meet Life SciencesBakersfield, CA, United States
[job_card.full_time]

Safety Systems Manager Location: Bay Area, California (On-site, 5 days per week) Company: Excelexis About the Company Excelexis is an innovative biotechnology company dedicated to developing transf...[internal_linking.show_more]

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Rudy Salas for Congress: Calltime Manager

ArenaBakersfield, CA, United States
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The Rudy Salas for Congress campaign is seeking a Call Time Manager.This is a full-time position based in Bakersfield, CA.The Call Time Manager will manage the candidate's call time program and hel...[internal_linking.show_more]

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Travel Speech Language Pathologist - $2,442 per week

Genie HealthcareBakersfield, CA, United States
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Genie Healthcare is seeking a travel Speech Language Pathologist for a travel job in Bakersfield, California.Job Description & Requirements.Travel Speech Language Pathologist Job.Bakersfield, Calif...[internal_linking.show_more]

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Accountant I/II/III - 010

GovernmentJobs.comBakersfield, CA, United States
[job_card.full_time]

This regular full-time position recruitment closes at 5:00 p.Definition: Under general direction, performs accounting and auditing work of limited difficulty; and may supervise staff engaged in dep...[internal_linking.show_more]

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Director Provider Network Management- Bakersfield 1.1

Universal Healthcare MSO LLCBakersfield, CA, United States
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Simple IRA Plan with a 3% Employer Contribution.The initial pay range for this position upon commencement of employment is projected to fall between $42.However, the offered base pay may be subject...[internal_linking.show_more]

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Database Administrator IV

KHS USA, Inc.Bakersfield, CA, United States
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We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications.A clear understanding of your background and work history will help us potenti...[internal_linking.show_more]

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Database Administrator

TradeJobsWorkForce93314 Rosedale, CA, US
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Responsibility for the evaluation of database software purchases Supervision of modifications to any existing database software to meet the needs of their employer Responsibility for maintaining th...[internal_linking.show_more]

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Locum Physician (MD/DO) - Radiology - Interventional in Bakersfield, CA

LocumJobsOnlineBakersfield, CA, US
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Doctor of Medicine | Radiology - Interventional.Competitive weekly pay (inquire for details) .LocumJobsOnline is working with Wellhart, LLC to find a qualified Interventional Radiology MD in Bakers...[internal_linking.show_more]

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IS Web & GIS Developer

Community Action Partnership of KernBakersfield, CA, United States
[job_card.full_time]

SUMMARY: Under the general direction of the Information Systems (IS) Manager, the Information Systems Web & GIS Developer designs, develops, and maintains web solutions with Microsoft Power Pages a...[internal_linking.show_more]

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Remote Senior SQL Engineer - AI Trainer

SuperAnnotateBakersfield, California, US
[filters.remote]
[job_card.full_time]

As a Senior SQL Engineer, you will work remotely on an hourly paid basis to review AI-generated SQL queries, database designs, and data-processing logic, as well as generate high-quality reference ...[internal_linking.show_more]

C&C Manager

C&C Manager

Accelerated Urgent CareBakersfield, CA, United States
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  • [job_card.full_time]
[job_card.job_description]

Job Type

Full-time

Description

Job Summary

The Contracting & Credentialing (C&C) Manager, under the supervision of the RCM Manger, working under the Director of Finance, is responsible for overseeing all provider and facility licensing, credentialing, and contracting across all applicable regions and health plans, including management of the C&C team members (Supervisor, Specialists, Coordinators). The C&C Manager will work cooperatively with many teams including Billing, HR, Recruiting, Providers, Operations, and the Owners, to ensure timely and accurate contracting and credentialing to meet staffing and facility needs in a rapidly growing organization.

Essential Functions (not all inclusive)

  • Manage all essential functions performed by C&C team members, including Supervisor, Specialists, and Coordinators.
  • Manage and lead day-to-day activities of staff who process credentialing and recredentialing applications for health care providers.
  • Daily oversight and monitoring of employees' workload and various credentialing workflows (i.e. onboarding, credentialing, EPCS and e-prescribe, provider and facility enrollments).
  • Oversee all C&C tasks and duties and ensure each has a corresponding Standardized Operating Procedure (SOP).
  • With guidance from the RCM Manager and Director of Finance, interview, hire, and provide a training plan for new staff on credentialing and recredentialing policies and procedures; also provide ongoing training and guidance as needed regarding new guidelines or updated processes and policies.
  • Directly oversee C&C employees, their overall performance, and take action when performance issues arise and follow ups are needed, such as disciplinary coaching, performance documentation and/or termination.
  • Implement department procedures to facilitate organized and up to date provider databases.
  • Oversee periodic audits of credentialing files and staff deliverables.
  • Oversee system for tracking license and certification expirations to ensure renewals are submitted in a timely manner.
  • Manage team to ensure they monitor external credentialing databases including CAQH, PECOS, and other agencies to ensure data is updated and ready for quick retrieval.
  • Manage application processes to ensure they are properly verified and accurately uploaded into an online credentialing database system.
  • Manage and resolve complex questions regarding credentialing or provider database maintenance and best practices.
  • Prepare and/or oversee reports on applications and credentialing statuses to identify trends and improve the credentialing process.
  • Oversee and manage all provider and facility licensing, credentialing, and contracting necessary to ensure claims are paid and cash flow is not disrupted.
  • Develop and oversee licensing, credentialing, and contracting workflows and processes as we scale our clinical team across California and potentially other states.
  • Manage and oversee maintenance and accuracy of tracking databases of required provider and facility licenses, certifications, contract statuses, and credentials; in addition, review critical data and the associated documents on an ongoing basis to ensure compliance.
  • Manage C&C team members to ensure AUC's provider roster is current and accurate to mitigate risks associated with growth, drive efficiencies, and advance proactive monitoring and action related to licensing, credentialing, and contracting.
  • Manage communication of provider and plan statuses, along with barriers related to operational processes, and drive solutions to overcome challenges.
  • Ensure the C&C team is providing contracting and credentialing support to various departments, teams, and individuals within the organization as needed to fulfill business needs.
  • Partner with various health plan representatives to promptly follow up and execute provider and plan approval dates.
  • Manage and organize payer contracts, track and monitor all executed health plan agreements, to ensure all active agreements are accounted for and reconciled in an easy to retrieve system. Work with the RCM Manager to ensure claims are billed correctly per the executed agreements.
  • Work directly with the RCM Manager to ensure new health plan contracts and their associated effective dates are communicated to the appropriate Operations Managers for staff notification and education purposes.
  • Oversee the communication of new providers as they are onboarded to the Billing Team, to ensure claim reimbursements are maximized.
  • Manage the team to ensure new provider credentialing is being performed in a timely manner, which includes sending welcome emails to new providers. In addition, ensure the team is assisting the providers with any questions or concerns they may have. Work with team members to trouble shoot barriers quickly to avoid delays in receiving credentialing approvals.
  • Manage the team and the professional liability application process, ensure the application and approval process is efficient and timely. If not efficient and timely, investigate and identify root cause problems to recommend solutions.
  • Manage the C&C team to ensure the Supervising Physician matrix and associated mid-level agreements are in place and up to date, to remain in compliance with the Medical Board and health plan requirements.
  • Manage the C&C team and submission of Letters of Intent to health plans or medical groups that we are not yet contracted with; educate and build relationships with health plan groups to help expedite the contracting process.
  • Manage and foster relationships with Health Plan/Insurance contacts to expedite credentialing processes, negotiate rates, and communicate or resolve issues related to contracting or credentialing statuses.
  • Manage and oversee the contracting and credentialing of all new facilities, to ensure new clinics are contracted by their assigned go live date.
Requirements
  • 7+ years of licensing, credentialing, and contracting experience with a variety of providers (MD, DO, NP, PA) and plan types (Medi-cal, Medicare, HMO, PPO, etc), preferably in an urgent care setting.
  • Previous management experience with progressive growth demonstrated.
  • High school diploma or equivalent.
  • Bachelor's Degree (preferred).
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) (preferred)


Salary Description

$32.00 - $39.00