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.
20h
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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
2mo
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Credentialing Specialist (22772)
Carrollton, Texas, United States
OnsiteFull Time
3+ YOE3+ years credentialing experience; Home Health/SNF credentialing; NCQA/CMS/Joint Commission knowledge; MS Office proficiency; HIPAA compliance; strong communication and organization.
Microsoft Office, Outlook, Excel, Word, Access
2w
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Credentialing and Medical Staff Coordinator Sr
Dallas, Texas, United States
OnsiteFull Time
3+ YOEHigh school diploma, knowledge of anatomy/physiology and medical terminology, NCQA and JCAHO standards, 3+ years credentialing experience, CPCS or CPMSM certification upon hire or within two years.
1d
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Sr. Credentialing Specialist
Farmers Branch or Dallas
$19-$35/hr HybridFull Time
3+ YOE3+ years credentialing experience preferred, familiarity with NCQA standards, NAMSS CPCS preferred/obtainable, high school diploma required, intermediate Google Suites skills, experience with MD Staff database.
Google Suites, MD Staff
1mo
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Mgr, Credentialing
Irving, Texas, United States
$93k-$117k/yr OnsiteFull Time
4+ YOELead credentialing team, ensure NCQA/CMS and state compliance, manage credentialing/recredentialing/delegated processes, develop reporting, and coordinate onboarding; requires 4+ years related experience and bachelor's or equivalent.
Epic
2w
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Credentialing and Medical Staff Coordinator Sr
Dallas, Texas, United States
OnsiteFull Time
3+ YOEHigh school diploma or equivalent, 3+ years credentialing experience, knowledge of anatomy/physiology and medical terminology, NCQA and Joint Commission standards, CPCS or CPMSM certification upon hire or within 2 years.
1mo
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Credentialing Coordinator
Dallas, Texas, United States
OnsiteFull Time
1+ YOEHigh school diploma/GED required; 1+ years credentialing experience; familiarity with MD Staff, Microsoft Excel/Word/Outlook; knowledge of NCQA/URAC/CMS/TDI credentialing standards; CPCS preferred.
MD Staff, Microsoft Excel, Microsoft Word, Microsoft Outlook, Windows
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
1mo
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Mgr, Credentialing
Irving, Texas, United States
$93k-$117k/yr OnsiteFull Time
4+ YOELead credentialing team; ensure NCQA/CMS/state compliance; develop reporting, training, and process improvements. Requires bachelor\u0002s or equivalent experience and 4+ years related business experience (8+ years without degree).
Epic
1mo
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CREDENTIALING & ENROLLMENT MANAGER
Addison, Texas, United States
OnsiteFull Time
5+ YOEOversee end-to-end provider credentialing, re-credentialing, payor enrollment and privileging; supervise credentialing staff; ensure compliance with state, federal, NCQA and Joint Commission standards; 5+ years healthcare experience; associate degree required.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint, CAQH
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