Credentials Verification Organizations (CVO) and Managed Care

Represent health systems and hospitals for initial and recertification of National Committee for Quality Assurance (NCQA) credentialing and CVO certification. Develop and negotiate delegated credentialing agreements on behalf of CVOs and health systems with multiple CMS Certification numbers with managed care plans. Advise and represent CVOs and health systems with multiple CMS Certification numbers on credentialing and CVO policies, enrollment and appeals of participating providers.