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3,909 ncqa jobs

Credentialing Specialist – easy apply

Argus Dental & Vision Tampa, FL

as mandated by NCQA, AAAHC, and Health Plans. Maintains an up-to-date physician database, including medical… Argus Dental & Vision

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Program Director, Quality and Contract Compliance

DentaQuest 79 Reviews Mequon, WI

to support strategic quality accreditations such as NCQA or URAC. Lead effort to gain accreditation… /certification from quality organizations such as NCQA or URAC. Partner with marketing and sales with items… DentaQuest

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Healthcare Consulting Sr Manager

Emdeon 100+ Reviews Remote, OR

for Healthcare Improvement’s Triple Aim approach. The candidate should have experience with the NCQA or URAC… Emdeon

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Director Ambulatory Care Services

Kaiser Permanente 100+ Reviews Anaheim, CA

of careand are in compliance with the Nurse Practice Act, TJC, NCQA, federal, stateand local requirements… Kaiser Permanente

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Supervisor Credentialing & Privileges

Kaiser Permanente 100+ Reviews Santa Rosa, CA

accreditation surveys (NCQA, CALS/The Joint Commission) and ensure compliance with regulatory agency standards… in NCQA and Joint Accreditation process.Primary Location: California,Santa Rosa,Santa Rosa Hospital 401… Kaiser Permanente

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Assistant Manager Ambulatory Care Dept Clinical Data Mgmt

Kaiser Permanente 100+ Reviews Los Angeles, CA

and are in compliance with the Nurse Practice Act, NCQA, TJC, and federal, state and local requirements.- Implements… Kaiser Permanente

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Oracle EHA Solution Architect

Perficient Inc 100+ Reviews Schenectady, NY

and aligning business and IT to build strategic roadmaps to meet Healthcare Compliance (JCAHO, NCQA, HIPAA, etc… Perficient Inc

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Senior Clinical Analyst

Healthfirst (New York) 100+ Reviews New York, NY

NCQA certified analysis software/data. Manage the receipt and processing of supplemental data from… Healthfirst (New York)

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Sr. Director Government and Accreditation Programs - Remote

MEDecision 86 Reviews Dallas, TX

applications preferred. Healthcare information industry and NCQA or URAC accreditation requirements… MEDecision

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OUTREACH PROGRAM CASE MANAGER - FT

Tenet Healthcare 100+ Reviews Lakewood, CA

, Medical Group or Health Plan environment Knowledge of Miliman, Interqual, Medicare, Medi-Cal, NCQA Tenet Healthcare

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UM CASE MANAGER-FT

Tenet Healthcare 100+ Reviews Lakewood, CA

Knowledge of Apollo, Milliman, or Interqual Guidelines Computer literate Knowledge of NCQA, health plan… Tenet Healthcare

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Audit Compliance Nurse II, RN

Brown & Toland Physicians 47 Reviews San Francisco, CA

The Audit Compliance Nurse is responsible for assuring programmatic compliance with NCQA, health… to develop and update workflows and policies related to required processes to meet health plan and NCQA Brown & Toland Physicians

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UM CASE MANAGER-FT

Tenet Healthcare 100+ Reviews Lakewood, CA

Knowledge of Apollo, Milliman, or Interqual Guidelines Computer literate Knowledge of NCQA, health plan… Tenet Healthcare

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Clinical Consultant II

Catamaran 100+ Reviews Cheyenne, WY

in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS & NCQA measures… Catamaran

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*Medical Staff Coordinator/Executive Assistant - Medical Affairs Administration FT (days)

Catholic Health Initiatives 100+ Reviews Des Moines, IA

completion of credentialing verification process, according to Medical Staff Bylaws, Joint Commission, NCQA Catholic Health Initiatives

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