pe specialist

1 week ago


hyderabad, India Randstad Full time

Key Responsibilities1. End-to-End Enrollment ManagementManage the full-cycle payer enrollment and revalidation process for healthcare providers (Physicians, NPs, PAs, RNs, CRNAs, etc.). Prepare, review, and submit enrollment applications across Commercial and/or Medicaid payers. Track application progress, follow up with payers, and maintain accurate, up-to-date documentation. 2. Compliance & Regulatory AdherenceEnsure compliance with federal, state, and p


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  • hyderabad, India Randstad Full time

    1. End-to-End Enrollment Management2. Compliance & Regulatory Adherence3. Issue Resolution & Escalations● Investigate and resolve complex enrollment issues—rejections, NPI/taxonomydiscrepancies, retro-effective enrollment, and portal conflicts.● Serve as a point of escalation for difficult payer inquiries.● Coordinate with internal Quality,...


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    Hyderabad, Telangana, India Cognizant Full time

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