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- ...ensures timely credentialing for physicians. The ideal candidate has a BA (or 2+ years credentialing experience), CPCS eligibility, and NCQA audit familiarity, with strong data skills in Excel/Access and detail orientation. #J-18808-Ljbffr 10 HOSP Ann & Robert H. Lurie...Suggested
- Ann & Robert H. Lurie Children’s Hospital of Chicago is seeking a Credentialing Specialist to support primary verification, maintain NCQA-aligned credentialing processes, and ensure compliance with licensing and accrediting requirements. The role involves updating...Suggested
- A growing regional health insurance company is seeking an Accreditation Specialist to lead quality improvement efforts and ensure NCQA accreditation. The role involves developing documentation, overseeing committee logistics, and collaborating with various partners. Candidates...Suggested
- ...to support the Credentialing team in primary source verifications, credentialing and recredentialing for FPP clients, and to ensure NCQA and regulatory compliance. The role requires 2 years of credentialing experience or a BA, CPCS eligibility, and strong data management...Suggested
- MedStar Health’s Washington Hospital Center is seeking an experienced RN to lead Quality Improvement initiatives, monitor NCQA and accreditation readiness, and support HEDIS reporting. The role requires critical thinking, data analysis, and cross-functional collaboration...Suggested
- ...Specialist (Remote) to organize, maintain and verify delegated credentialing for General and Specialty Dentists, ensuring compliance with NCQA guidelines and regulatory policies. The role requires attention to detail, strong communication with providers and internal teams,...SuggestedRemote job
$68.04k - $118.8k
...agencies. Ensure that all Care Management processes and reporting are compliant with all applicable federal and state regulations, and NCQA and company standards. Participate in delegation collaboration activities, as required. Research evidence-based guidelines, medical...SuggestedFull timeFlexible hoursWeekend workAfternoon shift- ...maintain compliant documentation across our national behavioral health network. You will mentor credentialing specialists, enforce NCQA standards, and drive process improvements while collaborating with Compliance, Legal, and Provider Operations. This remote role requires...SuggestedRemote job
- ...to care for remote or underserved populations. Ensure compliance with all healthcare laws including Workers' Compensation law and NCQA standards while maintaining the highest levels of infection control and aseptic technique. Skills Proficiency with EMR/EHR...SuggestedWork at officeRemote work
Mountain View Wellness and Family Care
Palmdale, CA7 days ago - ...activities, they must comply with all legal and regulatory policies and procedures.\n \n Responsibilities \n \n \n \n Adhere to NCQA guidelines. \n Audit Provider Licensure Files to NCQA guidelines. \n Pull Monthly Delegated Verification Files in accordance...SuggestedWork at officeRemote work
Sage Dental
Boca Raton, FL4 days ago - ...goings in the medical clinic. Adheres to applicable regulatory guidelines and laws, including but not limited to HIPAA/HITECK, HRSA, NCQA PCMH and OSHA. Knowledge and critical skills Strong interpersonal skills and the ability to work effectively with people of...SuggestedFull timeLive outWork at officeMonday to Friday
Community Clinic
Fayetteville, AR7 days ago - ...the Clinic at all times. Adheres to applicable regulatory guidelines and laws, including but not limited to HIPAA/HITECH, HRSA, NCQA PCMH and OSHA. Ensures that Community Clinic will not cause or allow any organizational practice, activity, decision or circumstance...SuggestedFull timeLive outWork at officeMonday to FridayNight shift
Community Clinic
Siloam Springs, AR6 days ago - ...leadership as appropriate Adhere to applicable regulatory guidelines and laws, including but not limited to HIPAA/HITECH, HRSA, NCQA PCMH and OSHA. Travel regularly to all clinic locations throughout the region. Take ownership of additional responsibilities to...SuggestedLive outWork at officeMonday to FridayFlexible hours
Community Clinic
Springdale, AR13 days ago - ...past roles. Certification or licensing as an LVN or RN is strongly preferred. Nice to Have Skills: Experience coordinating NCQA Patient-Centered Medical Home (PCMH) recognition initiatives. Proficiency in developing, implementing, and monitoring quality assurance...SuggestedTemporary workLocal areaMonday to Friday
Marquee Staffing - Healthcare
San Juan Capistrano, CA4 days ago - ...coders provide technical aspects of the assignment diagnostic and carried out in accordance with established standards and in compliance NCQA and other regulatory agencies, and Tenet policy.ResponsibilitiesEssential Duties and Responsibilities:Include the following. Others...SuggestedWork at officeLocal areaFlexible hours
$208k - $352k
...limited to:Is a national leader in Healthcare Reform and offering integrated, coordinated care for all patients Were designated by the NCQA as a level 3 Patient Centered-Medical HomeHas the first American Academy of Sleep Medicine accredited sleep center in the regionWas...Minimum wageFull timeWork experience placementWork at officeLocal areaWork from homeRelocation packageMonday to Friday- ...managed care or health plan environments. Strong familiarity with healthcare regulatory standards such as CMS, Joint Commission, or NCQA. Advanced skills in data analytics software and electronic health record (EHR) systems. Responsibilities: Demonstrate...
Independent Living Systems
Miami, FL10 days ago - ...The Village Pediatric & Wellness Center has been recognized as a PCMH practice with distinction in Behavioral Health Integration by NCQA. Company Description The Village Pediatric & Wellness Center serves a growing, mostly immigrant, multicultural, and multilingual...
The Village Pediatric And Wellness Center
Rockville, MD5 days ago - ...operated by AAPHC are recognized as a Level III Patient Centered Medical Home (PCMH) by the National Center for Quality Assurance (NCQA)? NCQA offers three levels of PCMH recognition with Level III being the highest level. As a Level III PCMH, AAPHC is committed to continuously...Work at office
ALBANY AREA PRIMARY HEALTH CARE, INC.
Albany, GA11 days ago $110 - $135 per hour
...partnership with providers, engagement of members, closing gaps in care, and Medical Loss Ratio. The Medical Director complies with NCQA Accreditation standards, the QUEST Integration (Medicaid) Contract, and CMS rules and regulations. Primary Duties and Responsibilities...Contract workTraineeshipWork at officeLocal areaAlohaCare
Honolulu, HI20 days ago- ...operated by AAPHC are recognized as a Level III Patient Centered Medical Home (PCMH) by the National Center for Quality Assurance (NCQA)? NCQA offers three levels of PCMH recognition with Level III being the highest level. As a Level III PCMH, AAPHC is committed to continuously...Temporary workWork at officeRelocation package
ALBANY AREA PRIMARY HEALTH CARE, INC.
Albany, GA6 days ago - ...based contracting • Proficiency with Microsoft Office suite and Internet/Intranet resources • Knowledge of Medicare regulations, NCQA, HIPAA compliance regulations • Familiar with payment alternatives such as fee for service, capitation, and performance...Contract workTemporary workWork at office
PHYSICIANS DATA TRUST
Newport Beach, CA4 days ago - ...children from birth through adolescence, with special attention paid to peace-of-mind for parents. The practice has been recognized by the NCQA for meeting the highest Patient Centered Medical Home standards and is part of one of the area's largest independent physician-owned...
$66 - $67 per hour
...oral and communication skills Strong interpersonal and organizational skills Solid understanding of regulatory guidelines (FDA, NCQA, EQRO, CMS) required Knowledge of medical and pharmacy products License Licensed in Tennessee to practice Pharmacy, or...Work at office- ...Products Magazine's Top Practice Performance Health (Parent Company of Theraband and Biofreeze) first US Center of Excellence NCQA Back Pain Recognition Project First US Multi-location practice to be recognized This Job Is Ideal for Someone Who Is: Adaptable...InternshipLive inFlexible hours
$16 - $29 per hour
...covering over 30,000 Medicare patients associated with our community-based primary care providers. We're also nationally recognized as a NCQA Level III Medical Home. That kind of progressive leadership makes us perfect fit for OptumCare and UnitedHealth Group's expanding...Hourly payMinimum wageFull timeWork experience placementLocal area- ...procedures, diagnostic studies, treatment, and dressing changes. Performs general administrative duties in accordance with JCAHO, CLIA, NCQA and government standards, as well as company policies and procedures. Performs visit chart preparation activities based on the...Full timeTemporary workPart time
$19 - $23 per hour
...advances access to care, continuity, population health management, community integration, quality improvement, and compliance with HRSA, NCQA, and other regulatory standards. Primary duties and responsibilities: ~ Facilitate timely access to primary and preventive care...For contractorsWork at officeFairfield Community Health Center
Lancaster, OH3 days ago$220k - $270k
...behavioral health, and care coordination --Engage in quality improvement, scholarly activities, and population health initiatives within an NCQA-recognized Patient-Centered Medical Home model --Prior academic or teaching experience preferred but not required; New York medical...Full timeWork at office$61.23 - $62.5 per hour
...integrated physical, behavioral and dental health to over 9,000 individuals in Montrose and Delta Counties at our 3 clinic sites. As a NCQA Primary Care Medical Home (PCMH), RVFHC is dedicated to improving the quality of our patient's lives every day by focusing on the...Full timeFlexible hours
