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- ...Effectiveness Data and Information Set (HEDIS) data quality strategy for optimal HEDIS submission to National Committee for Quality Assurance (NCQA). Responsibilities include oversight of the HEDIS portal, QCR data profiling and HEDIS reporting. Will work cross functionally...SuggestedFull timeShift work
$95k - $105k
...priorities. The role also provides administrative operations support for high-priority QMRG initiatives, including planning and coordinating NCQA committee and advisory panel conveningssuch as the Committee on Performance Measurement (CPM) and the Geriatric Measurement Advisory...SuggestedContract workFor contractorsWork at officeRemote work$250k - $275k
NCQA is hiring an Associate General Counsel, Programs and Privacy NCQA is at an important point in its evolution as the nation’s leading independent authority on healthcare quality. As NCQA modernizes its accreditation, measurement, data, research, digital quality, and...SuggestedFor contractorsWork at office- ...with the Quality Improvement (QI) team to ensure program effectiveness and compliance with national standards, such as GPRA, UDS, and NCQA. Perform other duties as assigned. Qualifications High school diploma or GED required. Associate or bachelor’s degree in healthcare,...SuggestedFull timeWork at office
- ...Depending on the nature of the case, telephonic peer-to-peer discussions may be required. The Medical Director ensures compliance with NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician...SuggestedContract workPrivate practiceRemote work
- ...experience in a behavioral health or community health setting is strongly preferred. Experience in principles of Quality Improvement, NCQA Standards, and Accreditation and Certification processes. Affordable Medical, Dental, and Vision insurance. 401K Retirement Plan...SuggestedWork at office
$150.7k - $185.6k
...strategic direction for the contracting department that aligns with organizational goals and sets continuous improvement goals aligned with NCQA requirements, HCPF requirements, and DOI standards. Ability to successfully negotiate complex contracts with a variety of provider...SuggestedContract workTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hours$40 - $43 per hour
...previous Charge experience preferred Regulatory skills required: knowledge of CPT codes, Department of Health DRG, HEDIS measures, NCQA, OSHA procedures and JCC *unit will take FIRST TIME TRAVELER* must present with strong background Unit Information Chronic diagnoses...SuggestedFull timeCasual workWork at officeLocal areaImmediate startRemote workRelocation packageShift workWeekend work- ...Washington, DC. Requirements: Minimum 2 years of experience (Required) Must have experience as a Complex Case Manager (NCQA experience preferred) Experience in: Acute Hospital Long-Term Acute Care / Rehab / Skilled Nursing Admission Criteria...SuggestedContract workShift work
Lancesoft INC
Washington DCmore than 2 months ago $92.8k - $126.4k
...regulations, policies, and internal procedures. Support quality initiatives by negotiating contracts aligned with HEDIS, CAHPS, NCQA, and URAC standards. Negotiate contracts that promote provider satisfaction and long-term network stability. Collaborate with...SuggestedFull timeContract workFor contractorsWork at officeLocal areaRemote workFlexible hours1 day per week$109.5k - $164k
...Geriatrics, Primary Care, ED, Urgent Care, or similar setting1+ years of clinical experience as a NP or PAAwareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systemsCompensation for this...SuggestedMinimum wageFull timeTemporary workWork experience placementLocal areaRelocation packageNight shift$227.6k
...service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician...SuggestedFor contractorsPrivate practiceWork at officeLocal areaHighmark Health
Washington DC2 days ago- ...team. This position is also responsible and accountable for maintaining the Health Plan's compliance with all state regulations and NCQA standards for quality activities related to Quality Management. This includes managing medical policy development, quality of care,...SuggestedContract work
Careers Integrated Resources Inc
Washington DC1 day ago - ...assessments and follow-ups post-discharge Maintain bi-weekly patient touchpoints Perform detailed, audit-ready documentation aligned with NCQA standards Develop and execute individualized care plans Lead complex case management for high-risk populations Coordinate care...SuggestedRemote workMonday to Friday
Medix
Washington DC1 day ago $85.47k
...Sea Mar Community Health Centers is accredited by The Joint Commission and recognized by the National Committee of Quality Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center Administrator and...SuggestedFull timeSea Mar Community Health Centers
Washington DC19 days ago- ...top community hospitals nationally • Recognition for LGBTQ+ healthcare equality • Patient-Centered Medical Home designation (NCQA) • “A” grade for social responsibility from a national hospital index Community Highlights Located within the greater Seattle...Full time
The Provider Finder
Washington DC11 days ago $223.8k - $313.1k
...with Medicaid Enrollees, providers, and stakeholders in a clinical or administrative setting Experience with accreditation process (NCQA) Experience with CGX and MHK Has licensure through the Interstate Medical Licensure Compact Has a Louisiana medical license...Full timeTemporary workApprenticeshipRemote workWeekend workHumana
Washington DC2 days ago- ...with the Quality Improvement (QI) team to ensure program effectiveness and compliance with national standards, such as GPRA, UDS, and NCQA. Support clinical workflows that improve patient access, care gaps, chronic disease management, preventive care, and patient...Full timeMonday to Friday
Native Project
Washington DC13 days ago $270k
...Named a leader in LGBTQ+ patient equality since 2011 Patient-Centered Medical Home by the National Committee for Quality Assurance (NCQA) One of the most culturally diverse communities in the country, our mission to care for our community like family extends to the...Relocation packageMonday to FridayWeekday workThe Provider Finder
Washington DC13 days ago$21.88 - $22.63 per hour
...position. This position must obtain CPR within 90 days of hire date and is required to maintain current CPR throughout employment. NCQA (National Committee for Quality Assurance) Certification is a plus. Valid WA State Driver’s License and proof of liability...Hourly payFull timeWork at officeDay shiftSea Mar Community Health Centers
Washington DC18 days ago$22.63 per hour
...obtain Basic Life Support (BLS) CPR within 90 days of hire date and is required to maintain current BLS CPR throughout employment. NCQA (National Committee for Quality Assurance) Certification is a plus. Valid WA State Driver’s License and proof of liability...Hourly payFull timeWork at officeLocal areaDay shiftSea Mar Community Health Centers
Washington DC18 days ago$85.47k - $92.44k
...Sea Mar Community Health Centers is accredited by The Joint Commission and recognized by the National Committee of Quality Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center Administrator and...Full timeSea Mar Community Health Centers
Washington DC19 days ago$60 per hour
...collaborate with the Quality Improvement team to ensure program effectiveness and compliance with standards such as GPRA, UDS, and NCQA. Meet with patients, youth, families, and community members to identify wellness, prevention, and education needs. Provide or...Hourly payFull timeSummer workWork at officeWeekend workAfternoon shiftNative Project
Washington DC19 days ago- ...among top community hospitals nationally • Recognition for LGBTQ+ healthcare equality • Patient-Centered Medical Home designation (NCQA) Community Highlights Located in Seattle, Washington, this vibrant metropolitan area offers: • Stunning waterfront views and...Full time
The Provider Finder
Washington DC11 days ago $125k - $165k
...Named a leader in LGBTQ+ patient equality since 2011Patient-Centered Medical Home by the National Committee for Quality Assurance (NCQA) We are proud participants in the Public Service Loan Forgiveness Program COMPENSATION $125,000 - $165,000 Offers valuable...Flexible hoursThe Provider Finder
Washington DC11 days ago$74.96k - $92.44k
...Sea Mar Community Health Centers is accredited by The Joint Commission and recognized by the National Committee of Quality Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center Administrator and...Full timeSea Mar Community Health Centers
Washington DC19 days ago$85.47k
...Sea Mar Community Health Centers is accredited by The Joint Commission and recognized by the National Committee of Quality Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health Center Administrator and...Full timeSea Mar Community Health Centers
Washington DC19 days ago- ...among top community hospitals nationally • Recognition for LGBTQ+ healthcare equality • Patient-Centered Medical Home designation (NCQA) • “A” grade for social responsibility from a national hospital index Community Highlights Located just 30 minutes from...Full timeNight shift
The Provider Finder
Washington DC11 days ago - ...continuous improvement. Collaborate with the Quality Improvement team to support program effectiveness and compliance with GPRA, UDS, NCQA, and other standards. Work closely with the Children & Youth Services Manager, Wellness & Prevention staff, and other departments...Full timeSummer workWork at officeLocal areaNight shiftWeekend workAfternoon shift
Native Project
Washington DC13 days ago - ...by The Joint Commission • National recognition for physician well-being initiatives • Patient-Centered Medical Home designation (NCQA) • Repeated inclusion among top community hospitals nationally • Recognition for LGBTQ+ healthcare equality Community...Full time
The Provider Finder
Washington DC13 days ago
