Quality Improvement Specialist NCQA - Denver Health Medical Plan (* Weekly Hybrid Schedule Requirement *)
Denver, Colorado, United States
$79k-$123k/yrHybridFull Time
Denver Health: Provides comprehensive hospital and emergency medical services in Denver.
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.
Denver Health: Provides comprehensive hospital and emergency medical services in Denver.
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
Denver Health: Provides comprehensive hospital and emergency medical services in Denver.
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