16 ncqa jobs at 9 companies in Greenbelt, MD
3mo
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NCQA Quality Manager (Hybrid)
Baltimore, Maryland, United States
$108k-$200k/yr HybridFull Time
5+ YOE1+ MgmtExperience managing NCQA accreditation in health plans; 5 yrs healthcare/quality analytics; 1+ yr supervisory; Bachelor's or equivalent; SQL/Python/R; Excel.
SQL, Python, R, Microsoft Excel
2d
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Provider Credentialing Supervisor
Falls Church, Virginia, United States
$53k-$62k/yr RemoteFull Time
General Dynamics Information TechnologyNYSE: GD: Provides mission-critical IT services to government and defense organizations.
3+ YOERequires 3+ years of related experience and expertise in documentation review, credentialing operations, PSV, workflow requirements, SOPs, CMS, and NCQA compliance. U.S. citizenship is not required.
User Acceptance Testing (UAT), Primary Source Verification (PSV), CMS, NCQA
1mo
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Quality Specialist (Hybrid)
Baltimore or Washington
$48k-$96k/yr HybridFull Time
3+ YOEBachelor's degree (or 4 additional years' experience), 3+ years professional experience, expertise with NCQA/HEDIS/CMS frameworks, member/provider engagement, data analysis, and Microsoft Office tools.
NCQA, HEDIS, CMS, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook
1mo
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Strategic Provider Partnerships Manager (Value-Based Care) (669676)
Hanover, Maryland, United States
$45-$72/hr RemoteFull Time
5+ YOE5+ years healthcare/managed care experience with provider ambulatory care required; experience in population health, quality improvement, care management preferred; NCQA/HEDIS training preferred; ability to translate performance data and collaborate with clinical and operational leaders.
NCQA, HEDIS
3d
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Provider Credentialing Supervisor
Falls Church, Virginia, United States
$53k-$62k/yr RemoteFull Time
3+ YOERequires 3+ years of related experience, provider credentialing expertise, documentation review skills, workflow implementation experience, and knowledge of CMS and NCQA compliance requirements.
Standard Operating Procedure (SOP), User Acceptance Testing (UAT)
1w
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Senior Manager, Accreditation and Quality
Washington or Chicago
$149k-$202k/yr HybridFull Time
7+ YOEBachelor's degree or RN/equivalent experience, 7+ years healthcare experience, subject-matter expertise in HEDIS/NCQA/URAC, strong project management, presentation and PowerPoint skills.
Microsoft PowerPoint, Microsoft Office
5d
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Sr Program Manager - HEDIS Initiatives (673245)
Hanover, Maryland, United States
$45-$72/hr RemoteFull Time
5+ YOEBachelor’s degree in a related field, 5 years of healthcare or managed care experience, and 5 years facilitating projects required; HEDIS, NCQA, quality improvement, analytics, and population health experience preferred.
HEDIS, NCQA Health Plan Rating
3w
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Quality Improvement Manager
Washington, District of Columbia, United States
$80k-$90k/yr OnsiteFull Time
3+ YOE3+ years quality improvement or behavioral/community health experience; bachelor's degree or equivalent required; master's preferred; experience with accreditation, NCQA standards, auditing; DC clinical licensure (LPC or LICSW) encouraged.
1mo
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Senior Quality Analyst (Hybrid)
Baltimore, Maryland, United States
$72k-$144k/yr HybridFull Time
5+ YOE5+ years professional experience; Bachelor's in a related field (or equivalent experience); expertise in population health measurement, NCQA/HEDIS/CAHPS activities; advanced analytics using SQL/Python/R; Microsoft Excel proficiency.
SQL, Python, R, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook
1mo
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EEE QI - Credentialing Specialist-New Jersey Ave-DC
Washington, District of Columbia, United States
$60k-$69k/yr OnsiteFull Time
3+ YOEManage credentialing and re-credentialing processes, maintain provider files, perform audits, ensure regulatory compliance (HRSA, NCQA, Joint Commission), verify licensure/certifications; 3+ years credentialing experience; Bachelor's degree or equivalent.
OneApp Pro, CAQH
1w
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Accreditation Program Specialist
Washington or Chicago
$104k-$140k/yr HybridFull Time
5+ YOEBachelor's in health administration/nursing/public health or equivalent; 5+ years with URAC/NCQA accreditation in managed care; RN preferred; strong project management, analytical and presentation skills; proficiency with Microsoft Project, Word, Excel, PowerPoint.
Microsoft Project, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
1mo
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Clinical Support Supervisor (Hybrid)
Baltimore, Maryland, United States
$62k-$128k/yr HybridFull Time
3+ YOEBachelor's degree or equivalent experience, 3+ years related professional experience with leadership, proficiency in Microsoft Office and electronic medical records, knowledge of care coordination and regulatory standards (NCQA/HEDIS/CMS), strong communication and data analysis skills.
Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Electronic Medical Record (EMR)
1mo
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Senior Quality Analyst (Hybrid)
Baltimore, Maryland, United States
$72k-$144k/yr HybridFull Time
5+ YOE5+ years professional experience; Bachelor's in population health/public health/healthcare administration/economics/statistics/data science or equivalent; expertise in population health measurement, NCQA/HEDIS/CAHPS, advanced analytics (SQL, Python, R), and Microsoft Office.
SQL, Python, R, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook
1d
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MED STAFF/CREDENTIALING COORD - PRN
Washington, Washington, DC, United States
$37/hr OnsitePart Time
3+ YOERequires 3-8 years in healthcare credentialing, privileging, or medical staff services, medical terminology knowledge, Microsoft Office and data entry skills; CPMSM certification preferred.
Microsoft Office, CACTUS, MIDAS, National Practitioner Data Bank (NPDB), JCAHO, NCQA, DCRA, Medicare
1w
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Enterprise Sales Leader (Remote - US, ~50% travel)
United States or Barcelona or New York City or Miami or Washington, D.C.
RemoteFull Time
10+ YOERequires 10+ years of enterprise healthcare sales, complex payer deal experience, quota performance, payer economics fluency, and experience navigating 9–18 month multi-stakeholder sales cycles.
AI, NCQA, CMS, STAR, HEDIS, Medicare Advantage, Managed Medicaid, MLR, PMPM, D-SNPs, MSOs, BCBS
1w
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Pharmacy Director - Health Plan
Columbia, Maryland, United States
$161k-$348k/yr OnsiteFull Time
8+ YOE8+ MgmtRequires a PharmD, pharmacist licensure in DC or reciprocity eligibility, and 8–10 years of pharmacy leadership experience, including health plan, PBM, or managed care pharmacy operations.
pharmacy benefit managers (PBMs), CMS, NCQA