Enrollment Specialist, Medical Board

Job description

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. Bargaining Unit: UUP Job Summary: The Department of Medical Board Credentialing at SUNY Downstate Health Sciences University is seeking a full-time Enrollment Specialist / TH Staff Assistant 2. The successful candidate will: - Oversee the hospital's managed care enrollment and delegated credentialing for providers by maintaining compliance with National Committee for Quality Assurance (NCQA) standards, federal regulations, and hospital policies. - Act as the authorized official for government plans (Medicare & Medicaid). - Serve as the primary point-of-contact for day to day provider enrollment operations. - Maintain National Provider Identifier & Council for Affordable Quality Healthcare database on behalf of assigned pr...