Miami Gardens • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Miami Gardens • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Miami Gardens • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Miami Gardens • 50 milesRemote · Hybrid · Onsite · Field · All Environments
9 ncqa jobs at 6 companies in Miami Gardens, FL
2mo
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Medical Staff Coordinator (Full-Time)
Hialeah, Florida, United States
OnsiteFull Time
1+ YOEMinimum 1–3 years credentialing experience; HS diploma required; healthcare administration degree preferred; knowledge of credentialing databases; familiarity with Joint Commission, CMS, NCQA; proficient in MS Office.
MD-Staff, Echo, Microsoft Office, Credentialing databases
1mo
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MEDICAL ASSISTANT (POPULATION HEALTH)
Miami, Florida, United States
$15-$19/hr OnsiteFull Time
Certified MA in Florida with current AHA CPR, valid Florida driver\u0002s license, experience with quality measures (NCQA/HEDIS/UDS) and working with diverse patients; strong communication and computer skills.
1mo
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POPULATION HEALTH COMPLIANCE TECHNICIAN
Miami, Florida, United States
$15-$20/hr OnsiteFull Time
High school/GED and medical coding or assisting training preferred; CPR required; knowledge of medical terminology, ICD/CPT coding, NCQA HEDIS, Medicare/Medicaid, and strong data entry skills.
EHR, practice management
3w
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Quality Accreditation Coordinator
Doral, Florida, United States
$25-$30/hr OnsiteFull Time
2+ YOE2+ years in managed care or health plan setting; HS diploma (or Associate's in healthcare admin, nursing, or related); bilingual English/Spanish; strong data analysis, NCQA knowledge, and Excel skills.
Microsoft Excel
3w
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Coordinator,Credentialing
Plantation, Florida, United States
HybridFull Time
2+ YOEMinimum 2 years credentialing experience, high school diploma or GED required; associate degree preferred. Knowledge of NCQA, proficiency with Microsoft Word and Excel, SyMed/One App Pro; strong communication and research skills.
Microsoft Word, Microsoft Excel, SyMed/One App Pro
2mo
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Grievance and Appeals Analyst I
Doral, Florida, United States
$22-$24/hr FieldFull Time
2+ YOEMinimum 2 years managed care/appeals or equivalent; working knowledge of Medicare/Medicaid/CMS and NCQA; experience with claims/denial management; strong analytical, written and verbal communication; proficiency with Microsoft Office and case/claims systems.
Microsoft Office
1mo
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MEDICAL ASSISTANT (POPULATION HEALTH)
Miami, Florida, United States
OnsiteFull Time
Certified Florida medical assistant with AHA CPR, valid Florida driver’s license, experience with diverse patients and chronic conditions preferred, knowledge of Joint Commission/NCQA/HEDIS/UDS standards, medical terminology, strong computer and communication skills.
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
2d
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HEDIS Specialist
Miami, Florida, United States
OnsiteFull Time
1+ YOEAssociate's degree and bachelor's degree listed; 1+ year customer service experience, computer literacy, Microsoft Office proficiency, bilingual Spanish and/or Creole, and clinical or case management experience preferred.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Electronic Health Records (EHR), Avhana, HEDIS, NCQA, Care Gap, Share medical Appointments