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Director, Performance & Process Improvement
Demonstrated knowledge of governmental and other regulatory standards, requirements, and guidelines related to quality improvement, such as The Joint Commission...
Sponsored
Credentialing Specialist
HealthStream - 31 reviews - Nashville, TN
Familiarity with accrediting bodies such as NCQA, JC or AAAHC standards as they relate to credentialing. Assists with preparation and compliance with biannual...
Sponsored
Contracting/Credentialing Specialist
The Dean A. McGee Eye Ins - Oklahoma City, OK
Perform credentialing and re-credentialing activitiesaccording to plan specifications and in compliance with NCQA standards. Summary/Objective....
Sponsored

2017 HEDIS Reviewer/HEDIS Abstractor - 11/29/16

RecordFlow - 12 reviews - United States
$25 an hour
2017 Seasonal HEDIS Reviewers About Advantmed: Founded in 2005 and based in Santa Ana, California, Advantmed, LLC (dba RecordFlow until 2015) is a

Provider Credentialing & Enrollment Specialist

Privia Health, LLC - Arlington, VA 22203 (Bluemont area)
Exercise independent judgment in interpreting NCQA, Joint Commission, URAC, CMS and State Laws and regulations as they pertain to the credentials of PMG...

Appeals and Resolution Specialist - Rockville, MD

Kaiser Permanente - 3,893 reviews - Rockville, MD
Minimum two (2) years of experience with NCQA or CMS is required. The Appeals & Resolution Specialist is accountable for:....

Claims Adjuster

Kaiser Permanente - 3,893 reviews - Downey, CA
Utilizes knowledge of government regulatory policies and procedures to ensure compliance with government regulations including but limited to CMS, DMHC, DHS and...

Pediatric Clerical Specialist- A.C. Taylor Health Clinic, M-...

Harris Health System - 116 reviews - Houston, TX 77026 (Northeast area)
Job Summary: Performs patient registration and supports daily clinic operations. Minimum Qualifications: High School Diploma/GED Minimum two (2) years of

Care Management Associate

Aetna - 1,765 reviews - Scottsdale, AZ  +1 location
Supports the administration of the precertification process in compliance with various laws and regulations, URAQ and/or NCQA standards, where applicable....

Onsite Medical Record Abstractor

General Dynamics Health Solutions - Birmingham, AL
Reviews and abstracts paper and electronic medical records utilizing NCQA HEDIS Technical Specifications. In Birmingham and surrounding area....
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Practice Transformation Consultant

MedAllies - North Brunswick, NJ  +2 locations
NCQA Level 3 Medical Home). Recent experience in a health care system that has been through a full transformation e.g., NCQA Level 3, CPC)....
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Provider Network Credentialing

ABCBS - 20 reviews - Little Rock, AR
$46,600 a year
This position coordinates credentialing, recredentialing, contracting, and auditing of practitioners and providers. The incumbent manages the data and

PCMH Coach

Community Care of Western North Carolina - Nashville, TN
NCQA PCMH Certified Content Expert a plus. Community Care of WNC (CCWNC) is seeking a *PCMH Coach*....
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Quality Improvement Coordinator - La Amistad - Full time, Da...
Knowledge of NCQA PCMH. These timeless values form the heart and soul of St....
Sponsored by St. Joseph Health
Medical Director of Quality Improvement (MD) - Relocate to B...
We were early to implement EPIC EHR and we're certified by NCQA as a level 3 Medical Home Model of Care....
Sponsored

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