- Molina Healthcare (Grand Rapids, MI)
- …management. **Job Duties** ** Program Oversight & Project Management** + Directs accreditation work plans and timelines to meet NCQA and contractual ... department or cross-functional teams of subject matter experts, delivering on NCQA accreditation requirements. Plans and directs schedules, reporting, process… more
- CVS Health (Lansing, MI)
- …/ Medicaid experience -Experience with HEDIS Metrics, CAHPS Member Satisfaction Surveys, NCQA Accreditation , Compliance Audits and/or MI State Reporting / ... Summary** Supportive of State of Michigan Quality Contract deliverables, QAPI Program and regulatory standards. Processes and evaluates complex data and information… more
- CVS Health (Lansing, MI)
- …+ Implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards (eg, NCQA , URAC, state and federal standards and ... that promote high-quality healthcare for members. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This… more
- CVS Health (Lansing, MI)
- …management, case management, disease management. + Experience with URAC and NCQA accreditation requirements + Experience collaborating with legal counsel ... + Supports the implementation and maintenance of an effective Compliance program supporting First Health, Aetna Signature Administrators, and American Health… more
- Henry Ford Health System (Wyandotte, MI)
- …of hospital departments according to customer or management needs. . Assists the Manager in keeping current with all accreditation standards and regulatory ... minimal supervision, provides a variety of activities to support the Department Manager and the daily operations of Medical Staff Services department. Coordinates… more
- Integra Partners (Troy, MI)
- … Manager . + Ensure compliance with all regulatory, contractual, and accreditation standards (CMS, NCQA , state-specific requirements). + Support audit ... leadership duties, serving as both a mentor and performance manager for frontline staff. Salary: $75,000.00/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES… more