Provider Enrollment Specialist

McLaren Physician Partners, McLaren Health Care, is seeking an experienced Enrollment Specialist to join the team and support the organization.JOB SUMMARYResponsible for assisting with the development and implementation of the MPP Membership, credentialing processes for NCQA certification, and Health Plan enrollment processes for MPP approved members and health care professionals. Works directly with Contract Administrator and Medical Leadership of MPP to refine data base information for accurate reporting of enrollment numbers and membership information. REQUIRED QUALIFICATIONSulliAssociates Degree; an equivalent combination of relevant education and experience may be substituted for the educational requirement./liliThree to five years of health plan enrollment, credentialing, coding and/or billing of primary care physicians./li/ulPREFERRED QUALIFICATIONSulliBachelors in Business or Healthcare preferred/li/ulNOTE: To further our mission of enhancing the health status of the individuals and communities we serve, effective February 1, 2013, McLaren Health Plan will no longer hire individuals who use tobacco or nicotine products in any form. Cotinine testing will be used to verify non-tobacco use.

Individuals whose health screening results are verified positive for tobacco/nicotine use will be disqualified from employment, their job offer will be rescinded, and they will be disqualified from reapplying for employment for six (6) months from the date of the health screening.span style=”font-size: small;”span style=”font-family: Verdana;”span style=”font-family: ‘Verdana’,sans-serif; font-size: 9pt;”Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities./span/span/span

Company: Eaton

Date: Sun, 05 Feb 2017

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