Ncqa jobs

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Non-Clinical Representative
CareCore National - Bluffton, SC
Trained in pre-certification, utilization management, NCQA and URAC principles, policies, and procedures Processes review of service request notifications that...
Sponsored by CareCore National - 11 days ago
Data Architect
NCQA - Washington, DC
Responsible for architecting the technical development, programming, and implementation of data warehouse, data-marts and extract, transformation and loading...
Sponsored by NCQA - 27 days ago
Show:  all jobs - only 'Easy Apply' jobs

Case Manager 1

Molina Healthcare 112 reviews - Midvale, UT - +17 locations
Familiarity with NCQA standards, state/federal regulations and measurement techniques. Responsible for health care management and coordination of Molina...
3 days ago - save job - email - more...

Medical Records Reviewer 2 Job

Group Health 53 reviews - Bellingham, WA - +1 location
Group Health is seeking experienced medical record reviewers for our 2014 NCQA HEDIS cycle. Medical Records Reviewer 2-141904....
Group Health Cooperative - 9 days ago - save job - email - more...

Quality Improvement Coordinator

Mid-Atlantic Permanente Medical Group 1,886 reviews - Rockville, MD
Leads, facilitates and documents the development, maintenance, measurement, and analysis of population care management programs to assure they operate at or...
8 hours ago - save job - email - more...

Communication Consultant

Wellmark - Des Moines, IA
Must comply with Iowa and South Dakota insurance Regulations, NCQA regulations and any other applicable regulatory authority....
1 day ago - save job - email - more...

Medical Records QA Specialist

Molina Healthcare 112 reviews - Charleston, SC - +2 locations
Reviews medical records to ensure standards are met as defined by NCQA , Molina, and external auditor. The Medical Records QA Specialist will review medical...
2 days ago - save job - email - more...

Credentialing Spc I

Molina Healthcare 112 reviews - San Antonio, TX
Knowledge of NCQA, CMS, and/or managed care credentialing criteria. Responsible for coordinating the assigned aspects of the credentialing and primary source...
2 days ago - save job - email - more...

Customer Support Specialist

NCQA - Washington, DC
Navigate callers through NCQA technical resources, such as NCQA web site. Provides detailed information about NCQA, its products and services....
3 days ago - save job - email - more...


St. Bernardine Medical Center 435 reviews - San Bernardino, CA 92404
Prefer knowledge of accreditation standards of JCAHO and/or NCQA Work effectively under pressure and time constraints....
Dignity Health - 3 days ago - save job - email - more...

Member Advocate I

Intermountain Healthcare 158 reviews - West Valley City, UT
Makes outbound calls for compliance with NCQA guidelines upon request. Help members find appropriate care by advising them on the different types of care...
8 days ago - save job - email - more...

Manager Utilization Management Support Services

Highmark Health 3 reviews - Pittsburgh, PA
DOH, DOL, CMS, NCQA, URAC). Responsible for ensuring compliance with all regulatory requirements, including CMS, DOL, DOH, state specific requirements, NCQA and...
4 days ago - save job - email - more...
Credentialing Assistant
American Well - Boston, MA
Basic understanding of NCQA standards a plus. American Well Headquarters - 75 State Street, 26th Floor, Boston, MA 02109....
Easily apply
Sponsored by American Well - 23 days ago
Intake Coordinator - Atlanta, GA
UnitedHealth Group 1,634 reviews - Atlanta, GA
Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive
Sponsored by UnitedHealth Group - 8 days ago
Value Options 79 reviews - Latham, NY
ABOUT OUR COMPANY ValueOptions ® is a health improvement company that serves more than 32 million individuals. On behalf of employers, health plans and
Sponsored by Value Options - 24 days ago

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Company with Ncqa jobs
CareCore provides comprehensive, customized programs to clients that seek to manage appropriate utilization of diagnostic imaging services.