2mo
Save
Mark Applied
Hide
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
4w
Save
Mark Applied
Hide
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
2mo
Save
Mark Applied
Hide
Supervisor Appeals in Philadelphia, Pennsylvania
Philadelphia, Pennsylvania, United States
OnsiteFull Time
3+ YOE1+ MgmtLeadership of administrative appeals team; NCQA/state compliance; PA Act 146 knowledge; vendor and cross‑department collaboration.
1w
Save
Mark Applied
Hide
Clinical Quality Manager - Remote in Pennsylvania
Fort Washington or Philadelphia
$92k-$164k/yr RemoteFull Time
PA RN license or Master’s in a healthcare field, experience with HEDIS/NCQA and quality improvement, staff management and reporting experience, ability to travel up to 10% in Pennsylvania.
Microsoft Excel, PowerPoint
1mo
Save
Mark Applied
Hide
Quality Reporting & Accreditation Specialist
Philadelphia, Pennsylvania, United States
$75k/yr OnsiteFull Time
3+ YOEMaster's degree required, CPHQ required within 1 year, PMP preferred, minimum 3 years post-graduate experience, proficiency with Microsoft Office, knowledge of NCQA and HealthChoices regulations.
Microsoft Office
2mo
Save
Mark Applied
Hide
Supervisor Appeals
Philadelphia, Pennsylvania, United States
OnsiteFull Time
3+ YOEBachelor’s or equivalent experience; minimum 3 years appeals/health plan/operations experience (5 years if no degree); prior appeals/regulatory experience required; leadership preferred; knowledge of PA Act 146 and NCQA.
1mo
Save
Mark Applied
Hide
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
Save
Mark Applied
Hide
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)
4w
Save
Mark Applied
Hide
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