- Centene Corporation (Jefferson City, MO)
- …science, social science, or geospatial/ROI/financial analysis preferred. Experience with HEDIS, NCQA , Medicare Star Rating System, QRS, or other quality measures ... preferred; quality auditing or analysis of call center performance preferred; experience with data mining, population health, and statistical modeling preferred. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package… more
- CVS Health (Richmond, VA)
- …management, case management, disease management. + Experience with URAC and NCQA accreditation requirements + Experience collaborating with legal counsel to help ... advise internal and external customers **Education** + Bachelor's degree preferred or a combination of professional work experience and education. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is:… more
- Houston Methodist (Houston, TX)
- …position also performs general administrative duties in accordance with CLIA, HIPAA, NCQA and government standards, as well as company policies and procedures. The ... MA position participates in patient care which is under the direction of a physician and within the scope of a medical assistant. This position may also be required to schedule patient appointments, ensure medical necessity compliance, and verify eligibility… more
- CVS Health (Columbus, OH)
- …processes in compliance with various laws and regulations, URAQ and/or NCQA standards, Case Management Society of America (CMSA) standards where applicable, ... while adhering to company policy and procedures. + Manage population health member enrollment for child and family welfare. Development of Wellness Plan, providing community resources, reviewing gaps in care, administering health questionnaires, and other… more
- Sea Mar Community Health Centers (Olympia, WA)
- …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 insurance. What We Offer: Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a… more
- Cleveland Clinic (Cleveland, OH)
- …states Licensing Board. + Current DEA License or DEA designee as required by NCQA . + Basic Life Support (BLS) through the American Heart Association (AHA) required. ... + Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS)… more
- Ochsner Health (New Orleans, LA)
- …principles, including the Medical Staff Standards of The Joint Commission, CMS and NCQA , and health care terminology. + Ability to and experience in creating ... agendas, taking meeting minutes and transcribing accurate minutes. + Strong problem solving skills. + Organizing and prioritizing skills. + Decision-making and delegation skills. + Ability to work with and experience working with and maintaining confidential… more
- Sharp HealthCare (Coronado, CA)
- …in a professional organization. **Knowledge, Skills, and Abilities** + Knowledge of NCQA , JCAHO, and other accreditation agency standards is required. + Computer ... skills must include experience with electronic mail, word processing, spreadsheets, and various customer service database programs. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for… more
- Cleveland Clinic (Avon, OH)
- …states Licensing Board. + Current DEA License or DEA designee as required by NCQA . + Basic Life Support (BLS) through the American Heart Association (AHA) required. ... + Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS)… more
- Prometheus Federal Services (VA)
- …+ Use biostatistical techniques to set performance targets informed by CMS, NCQA , HEDIS, and Joint Commission standards. + Conduct comparative analyses across peer ... organizations and population health benchmarks. Reporting & Visualization + Translate complex statistical findings into clear, actionable recommendations for clinical and operational audiences. + Develop dashboards and visualizations using Tableau, Power BI,… more
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