3mo
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Quality Improvement Specialist NCQA - Denver Health Medical Plan (* Weekly Hybrid Schedule Requirement *)
Denver, Colorado, United States
$79k-$123k/yr HybridFull Time
4+ YOE4–6 years in health plan quality improvement with HEDIS/Stars; NCQA accreditation readiness; strong data analysis; Bachelor's in Public Health or related field; CPHQ and Green Belt certifications preferred.
Excel, Tableau, SAS
1w
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Provider Enrollment Specialist I
Denver or Colorado
$24-$34/hr HybridFull Time
4+ YOE4+ years credentialing/enrollment experience with Medicare, Medicaid, and dental payers; High School/GED and PESC certification; knowledge of TJC, NCQA, CMS; proficient in Microsoft Word/Excel/Outlook.
Microsoft Word, Microsoft Excel, Microsoft Outlook
1w
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Senior Regulatory Implementation and Assurance Analyst
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Missouri or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$79k-$127k/yr HybridFull Time
5+ YOE5+ years interacting with regulators/auditors, bachelor’s degree or equivalent experience, knowledge of regulatory frameworks (HIPAA, NIST, PCI, CMS, NCQA), strong communication, analytics, and project leadership skills.
2w
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Provider Credentialing Rep
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$44k-$52k/yr RemoteFull Time
2+ YOEHigh school diploma/GED, 2+ years provider credentialing and provider data system experience, knowledge of URAC/NCQA and federal program requirements, U.S. citizenship and favorable DoD background investigation for TRICARE support.
Outlook, Teams, Word, Excel, PowerPoint, SharePoint
1mo
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Provider Enrollment Specialist II
Denver, Colorado, United States
$24-$34/hr OnsiteFull Time
4+ YOE4+ years credentialing/enrollment experience with Medicare, Medicaid and commercial/dental payers; PESC certification and high school diploma/GED required; proficient in Microsoft Word, Excel, Outlook; knowledge of TJC/NCQA/CMS standards.
Microsoft Word, Microsoft Excel, Microsoft Outlook