- Centene Corporation (Tallahassee, FL)
- …management of activities related to National Committee for Quality Assurance ( NCQA ) Accreditation and Healthcare Effectiveness Data and Information Set (HEDIS) ... experience including, quality and process improvement experience requiredExperience with NCQA accreditation preparation and auditing, including the analysis of HEDIS… more
- Corewell Health (Grand Rapids, MI)
- …complete, organized and secure to meet State, Federal, Health Plan and NCQA requirements.Effectuate Appeal committee, DIFs, CMS and other regulatory body directed ... and ensure outcomes are effectively communicated (oral and written) following CMS, NCQA and other applicable guidelines. + Support the lead for expedited requests,… more
- Molina Healthcare (TX)
- …calls from members, providers, and pharmacies to meet departmental, State regulations, NCQA guidelines, and CMS standards. + Provides coordination and processing of ... requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA , and CMS policy/guidelines, and any other necessary information to providers,… more
- Bozeman Health (Bozeman, MT)
- …10 APCs across 3 locations + Geriatric, palliative care, and home care teams + NCQA Level 3 Patient Centered Certified Medical Home + CPC+ participant + Active ACP ... clinic + Broad spectrum of medical and procedural specialties including + NCQA -recognized Diabetes Care + ACS-recognized Cancer Center, member of the Seattle Cancer… more
- Kelsey-Seybold Clinic (Webster, TX)
- …Kelsey-Seybold has been recognized by the National Committee for Quality Assurance ( NCQA ) as the nation's first accredited Accountable Care Organization and a Level ... area certified for excellence in diabetes and heart and stroke care by the NCQA . In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited… more
- Kelsey-Seybold Clinic (The Woodlands, TX)
- …Kelsey-Seybold has been recognized by the National Committee for Quality Assurance ( NCQA ) as the nation's first accredited Accountable Care Organization and a Level ... area certified for excellence in diabetes and heart and stroke care by the NCQA . In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited… more
- Kelsey-Seybold Clinic (Webster, TX)
- …Kelsey-Seybold has been recognized by the National Committee for Quality Assurance ( NCQA ) as the nation's first accredited Accountable Care Organization and a Level ... area certified for excellence in diabetes and heart and stroke care by the NCQA . In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited… more
- WMCHealth (Hawthorne, NY)
- …for Medicare & Medicaid Services, National Committee for Quality Assurance ( NCQA ) in collaboration with WMCHealth Network Medical Staff Offices, accrediting ... requirements of various organizations which affect the credentialing process such as CMS, NCQA , New York State Education Department, and New York State Department of… more
- Kelsey-Seybold Clinic (Houston, TX)
- …Kelsey-Seybold has been recognized by the National Committee for Quality Assurance ( NCQA ) as the nation's first accredited Accountable Care Organization and a Level ... area certified for excellence in diabetes and heart and stroke care by the NCQA . In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited… more
- Kelsey-Seybold Clinic (Cypress, TX)
- …Kelsey-Seybold has been recognized by the National Committee for Quality Assurance ( NCQA ) as the nation's first accredited Accountable Care Organization and a Level ... area certified for excellence in diabetes and heart and stroke care by the NCQA . In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited… more