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Ncqa standards Remote Jobs

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7 fresh jobs found
EPSDT Coordinator
Remote-IL, United States Centene Corporation logo Centene Corporation
Improvement plans Performance goals Pediatric care Community relations Ncqa standards NCQA Health Plan Health Services Medical management +16
Entry Mid Full Time
USD 44K+
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Clinical Appeals Coordinator
Remote-AR, United States Centene Corporation logo Centene Corporation
Appeals coordination Ncqa compliance Ncqa standards Clinical Nursing Clinical Information Utilization NCQA Medical necessity Medical management +17
Mid Full Time
USD 66K+
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RN Clinical Review Clinician - Appeals
Remote-CA, United States Centene Corporation logo Centene Corporation
Medical Records Review Interdepartmental Collaboration Case reviews UM Ncqa standards Medicaid regulations Clinical reviews Researching Clinical Review +30
Mid Full Time
USD 52K+
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Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
Tennessee Work at Home, United States The Cigna Group logo The Cigna Group
Case conferences Medical licenses Board certifications Peer-to-peer discussions Cigna Ncqa standards Federal Laws Medical Review Clinical Review +21
Exec Senior Full Time
USD 203K+
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Director, Care Management
Remote-OK, United States Centene Corporation logo Centene Corporation
Information Technologies Clinical Care Pathways Ncqa standards Provider experience Quality care Staff training Budget development NCQA Healthcare outcomes +31
Exec Senior Full Time
USD 119K+
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Senior Director, Care Management - LTSS
Remote-FL, United States Centene Corporation logo Centene Corporation
Provider experience Ncqa standards Quality care Long Term Care Healthcare Management NCQA Healthcare outcomes Audits Procedures +26
Senior Full Time
USD 157K+
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Care Manager NICU - Must be LSW (Must live in Mississippi) WFH
Mississippi WFH, United States CareSource logo CareSource
Community Resource Education LSW Person-centered planning Healthcare Resource Utilization Interdisciplinary Team Collaboration Ncqa standards Clinical Standards Trauma-Informed Care Health Equity +36
Mid Full Time
USD 55K+
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