- Integra Partners (Troy, MI)
- The Quality & Accreditation Specialist is responsible for coordinating and maintaining accreditation activities for the Utilization Management (UM) and ... Credentialing departments. This includes supporting NCQA accreditation , implementing quality monitoring initiatives, conducting internal reviews, and… more
- Columbia Memorial Hospital (Astoria, OR)
- ELIGIBLE FOR CMH EMPLOYEE REFERRAL BONUS: NON-PRIORITY RECRUITMENT The Accreditation , Regulatory, and Licensing Nurse Specialist ensures compliance with ... Oregon State Board of Nursing Preferred: Certified Professional in Healthcare Quality (CPHQ). Preferred: Credential(s) from the Healthcare Accreditation … more
- Centene Corporation (Atlanta, GA)
- …workplace flexibility. **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation , ... care experience in a health care environment Experience in compliance, accreditation , service or quality improvement Complex project management experience… more
- Molina Healthcare (Rockford, IL)
- …key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. ... **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or more of these quality improvement… more
- BayCare Health System (FL)
- …State and Federal guidelines and regulations, as well as department policies. Assist in the NCQA Accreditation renewals and Managed Care plan NCQA and CMS ... quality standards. + Identifies issues and trends in quality measures and Credentialing Specialist performance and...and trends in quality measures and Credentialing Specialist performance and reports that information to the Supervisor… more
- Highmark Health (Pittsburgh, PA)
- …respect to regulatory requirements and corporate policies/procedures. (Ex: operational audits, quality improvement audits, accreditation mock audits, etc.) + ... activities are compliant with regulatory guidelines/agencies, including but not limited to: NCQA , CMS, DPW, and DOH. Supports the integration of new vendors and… more
- Molina Healthcare (Savannah, GA)
- …key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. ... **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one or more of these quality improvement functions: … more
- Henry Ford Health System (Jackson, MI)
- …understanding of medical staff credentialing and regulatory requirements. Experience with accreditation standards (eg, Joint Commission, NCQA , URAC, HFAP). ... Credentialing Specialist - Medical Staff Affairs - Days Location:...medical staff meetings, and ensuring compliance with regulatory and accreditation standards. The coordinator serves as a key resource… more
- Magellan Health Services (Albuquerque, NM)
- …description. Other Job Requirements Responsibilities Knowledge of National Committee for Quality Assurance ( NCQA ) requirements. Ability to work independently and ... The Network Contract Specialist will be responsible for creating and maintaining...+ Rate updates + Letters of Direction (LODs) + NCQA /CAQH + Ensure compliance with internal standards and state-specific… more
- LA Care Health Plan (Los Angeles, CA)
- …Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance ( NCQA ) regulatory requirements. This position reviews pre-service ... Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department:...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
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