2mo
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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
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
2w
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Credentialing Supervisor
Fulton, Maryland, United States
$30-$38/hr OnsiteFull Time
3+ YOE3+ years credentialing experience with supervisory exposure; knowledge of NCQA/CMS/payer standards, CAQH, NPI/PECOS, state licenses, DEA, board certifications, and credentialing workflow.
CAQH, Microsoft Office, payer portals, credentialing software
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.
3w
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Provider Performance Specialist-Senior
Alabama or Alaska or Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
4+ YOEBachelor\u0002s or equivalent, 4 years payer/ACO/value-based care experience, advanced Excel and Power BI/Tableau, knowledge of Medicare Advantage/Medicaid/NCQA, strong analytical and communication skills.
Microsoft Excel, Power BI, Tableau
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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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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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