3mo
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Credential Analyst-NCQA, URAC and CMS
Lombard or Southfield or Richardson
$38k-$80k/yr HybridFull Time
2+ YOEBachelor degree or 6 years accreditation experience; knowledge NCQA/URAC/CMS; strong data, analytical, MS Office.
Microsoft Office, Excel, Email, Internet
1w
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HEDIS Audit Quality Manager (State and NCQA)
Atlanta or Woodland Hills or Waukesha or Hanover or Indianapolis or Miami or Cincinnati or Grand Prairie or Chicago or Iselin or Lake Mary or Woburn or Mendota Heights
$99k-$163k/yr HybridFull Time
3+ YOEBA/BS in a health care field and minimum 3 years healthcare experience plus 3 years QA/QI experience or equivalent; strong knowledge of NCQA HEDIS audit guidelines, audit management, project planning, and data analysis.
19h
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Data Analyst - Remote
Chicago or Atlanta or Minneapolis or Omaha or Dallas or Phoenix
$60k-$107k/yr RemoteFull Time
2+ YOE2+ years SQL and healthcare data experience, intermediate Microsoft Excel (PivotTables/dashboards), analytic and communication skills, HEDIS/NCQA knowledge preferred.
SQL, Microsoft Excel, PivotTables
3w
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Program Manager - Quality Improvement
Chicago, Illinois, United States
$67k-$79k/yr OnsiteFull Time
3+ YOEBachelor's in healthcare-related field required; 3+ years quality improvement experience and 2+ years primary/ambulatory care experience; project management, analytics, EHR experience; knowledge of HEDIS, CMS/UDS, NCQA.
EPIC EHR, Electronic Health Record (EHR)
3w
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Sr. Manager Corporate Compliance-Special Needs Plans
Ohio or Irving or Scottsdale or Woonsocket or Hartford or Northbrook
$83k-$183k/yr HybridFull Time
7+ YOE2+ Mgmt7+ years Medicare/Medicaid compliance experience (SNP focus), 2+ years project management, knowledge of CMS/NCQA/regulations, audit and corrective action experience, strong analytical and communication skills, bachelor’s or equivalent.
Microsoft Office, Archer
2d
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Delegation Oversight Coordinator - Work From Home
Richardson or Helena or Albuquerque or Tulsa or Chicago or Nashville
$56k-$124k/yr RemoteFull Time
4+ YOE4+ MgmtBachelor's in business/medical or 4+ years managed care experience; 4 years leadership and 4 years performing delegated oversight; project management; knowledge of TDI, NCQA, URAC; Word/Excel/PowerPoint/Lotus Notes proficiency; <10% travel.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Lotus Notes, Visio
1mo
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Coding Integrity & National Strategy Sr. Principal
Chicago or Washington
$192k-$264k/yr HybridFull Time
10+ YOE10+ years enterprise SaaS sales or business development with 5+ years selling into payer organizations; Bachelor’s required (MBA/MPH preferred); GTM, enterprise sales, payer operations, and compliance experience.
CMS, NCQA, HEDIS, HIPAA, PHI, PII, SOC2, HiTrust