• Accreditation Program Manager…

    Molina Healthcare (Austin, TX)
    …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
    Molina Healthcare (09/08/25)
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  • Manager , Business Compliance

    CVS Health (Austin, TX)
    …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
    CVS Health (09/05/25)
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  • Pharmacy Services Specialist

    Apex Health Solutions (Houston, TX)
    …it relates to CMS and other regulatory entities. Interacts with pharmacy benefit manager (PBM) to support the implementation of new pharmacy products or services and ... conduct frequent audits to ensure compliance with regulatory entities such as CMS, NCQA , URAC. Intervenes, as necessary, to resolve member or provider issues with… more
    Apex Health Solutions (07/19/25)
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