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Ncqa standards Remote Jobs

9 fresh jobs found

Lead Grievance & Appeals Coordinator
Remote-CA, United States

Centene Corporation

Grievance Management Appeals processing Grievance Ncqa standards NCQA Compliance monitoring Report Preparation Health Plan Appeals +21

Senior Mid Full Time

USD 44K+

USPI Credentialing Specialist (Remote)
United States

Tenet Healthcare

Credentialing database Provider Enrollment Collaborative work Ncqa standards Office Software Healthcare Delivery Credentialing Revenue Cycle Management Revenue Cycle +16

USD 69K+

Enterprise Clinical Quality Analyst II
Dayton WFH, United States

Ncqa standards NCQA Provider Relations Microsoft Access Credentialing Healthcare Knowledge Performance Improvement CMS Clinical Experience +32

USD 61K+

VP, PHCO Utilization Management Medicaid & Marketplace
Remote-MO, United States

Centene Corporation

Ncqa standards NCQA Clinical Training Financial Forecasting Provider Relations Acute care Marketplace Reconciliation Utilization Review +25

Exec Senior Full Time

USD 182K+

Clinical Review Clinician - Appeals (RN)
Remote-TX, United States

Centene Corporation

Appeals process Interdepartmental Collaboration Ncqa standards Clinical reviews Medicaid regulations NCQA Clinical Review Medical necessity Medical Records +23

USD 95K+

Supervisor, Clinical Grievance and Appeals
Remote-MO, United States

Centene Corporation

Grievance Ncqa standards Grievances NCQA Quality Metrics Medical necessity Clinical operations Appeals Medical management +28

USD 68K+

VP, PHCO Utilization Management - Medicare & Duals
Remote-FL, United States

Centene Corporation

NCQA Ncqa standards Clinical Training Financial Forecasting Provider Relations Acute care Utilization Review Medical management Training Programs +21

Exec Senior Full Time

USD 182K+

Clinical Review Clinician - Appeals
Remote-MO, United States

Centene Corporation

Appeals processing Interdepartmental Collaboration Clinical data analysis Ncqa standards Clinical reviews Medicaid regulations NCQA Clinical Review Medical necessity +25

USD 52K+

Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
Tennessee Work at Home, United States

The Cigna Group

Case conferences Medical care management Board certification Educational training Ncqa standards Peer-to-peer discussions Medical Review Quality of care Federal Laws +21

Exec Senior Full Time

USD 203K+

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