SUNY Downstate Health Sciences University
Location
New York
The Enrollment Specialist oversees managed care enrollment and delegated credentialing for providers while maintaining compliance with NCQA standards and federal regulations. They also serve as the primary point-of-contact for enrollment operations and manage provider data within the Cactus database.
Candidates must have a high school diploma and at least two years of experience in managed care enrollment, specifically with Medicare and Medicaid. Proficiency in CAQH processes and NCQA standards is required, with knowledge of Symplr Cactus preferred.
Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.
• Knowledge of Symplr Cactus.
Monday to Friday; 8: 30am to 4:30pm (Full-Time)
Salary Range: Commensurate with experience and qualifications
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov [info@goer.ny.gov].
SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws.
Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply.
If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at ada@downstate.edu [ada@downstate.edu]
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