New York City • 50 milesRemote · Hybrid · Onsite · Field · All Environments
New York City • 50 milesRemote · Hybrid · Onsite · Field · All Environments
New York City • 50 milesRemote · Hybrid · Onsite · Field · All Environments
New York City • 50 milesRemote · Hybrid · Onsite · Field · All Environments
19 ncqa jobs at 11 companies in New York City, NY
3w
Save
Mark Applied
Hide
QI Director
Spring Valley, New York, United States
OnsiteFull Time
5+ YOE5+ years clinical experience, leadership experience preferred, strong communication and organizational skills, computer proficiency; experience with NCQA PCMH and UDS quality measures preferred.
1w
Save
Mark Applied
Hide
Mgr, Quality Management
Newark or Hopewell or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$110k-$150k/yr HybridFull Time
5+ YOE5+ MgmtBachelor's degree,5+ years healthcare and quality management experience,5+ years management,project management,knowledge of HEDIS/CAHPS/Medicare Stars and NCQA,proficient with MS Office.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Windows
1mo
Save
Mark Applied
Hide
Nurse Practitioner (Per Diem)
Hackensack, New Jersey, United States
$2k-$10k/mo FieldPart Time
ComplexCare Solutions: Conducts health risk assessments and member engagement for health plans.
Active unencumbered nursing license, ANCC or AANP board certification, current CPR, knowledge of CMS/NCQA/HEDIS, ability to practice autonomously in home and telehealth settings, EHR proficiency.
EHRs, secure messaging systems, cloud-based documentation tools, E-Verify
2w
Save
Mark Applied
Hide
Manager Clinical Quality Data Validation and Governance
New York City, New York, United States
$103k-$149k/yr HybridFull Time
5+ YOE2+ MgmtBachelor's in related field, 5+ years healthcare quality/HEDIS/data validation experience, 2+ years supervisory experience, NCQA/HEDIS knowledge, coding knowledge, EMR and Microsoft Office proficiency.
Electronic Medical Records (EMR), Microsoft Excel, Microsoft PowerPoint
2w
Save
Mark Applied
Hide
Manager Clinical Quality Data Validation and Governance
New York, New York, United States
$103k-$149k/yr HybridFull Time
5+ YOE2+ MgmtBachelor's in a health field, 5+ years in healthcare quality/HEDIS/data validation, 2+ years supervisory experience, knowledge of NCQA/HEDIS and clinical coding, EMR experience, strong leadership and communication skills.
EMRs, Microsoft Excel, Microsoft PowerPoint
1mo
Save
Mark Applied
Hide
Manager, Medical Utilization and Care Management
Charlotte or Denver or New York
$95k-$130k/yr OnsiteFull Time
5+ YOE2+ MgmtActive unrestricted RN license,5+ years in utilization/care/case management,2+ years leadership,knowledge of medical necessity reviews,care coordination,URAC/NCQA familiarity;CCM/CMGT-BC/HCQM preferred.
1w
Save
Mark Applied
Hide
Senior Quality Assurance Manager Nurse
New York City, New York, United States
$131k-$164k/yr HybridFull Time
6+ YOE4+ MgmtNew York RN license and bachelor's degree required. Requires 6+ years nursing experience, including 3 years quality improvement and 4 years management, plus HEDIS, NCQA, leadership, and clinical assessment expertise.
Microsoft Outlook, Microsoft Word, Microsoft Excel, HEDIS, National Committee for Quality Assurance (NCQA)
3mo
Save
Mark Applied
Hide
Credentialing Lead -Healthcare (In Person)
Bronx, New York, United States
$66k-$76k/yr OnsiteFull Time
3+ YOE1+ Mgmt3+ years healthcare credentialing or medical staff services experience, Bachelor's (or 7 years experience), 1–2 years supervisory experience, strong knowledge of NCQA/TJC/CMS/state regs, attention to detail, and credentialing system experience preferred.
MD Staff, Medallion, Passport, Modio
3w
Save
Mark Applied
Hide
Associate Vice President, Education and Member Experience, Health Plans
New York, New York, United States
$194k-$323k/yr OnsiteFull Time
10+ YOEMaster's degree and 10+ years leadership in learning/clinical education or workforce development in healthcare; knowledge of Medicare/Medicaid/MLTC/CMS/NYSDOH/NCQA; instructional design, competency management, curriculum development; strong communication and Microsoft Word/Excel proficiency.
Microsoft Word, Microsoft Excel
2mo
Save
Mark Applied
Hide
Quality Auditor II
Hopewell or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$79k-$106k/yr RemoteFull Time
3+ YOEConduct clinical file audits for regulatory compliance (NCQA, URAC, CMS); requires 3+ years clinical experience and active unrestricted NJ clinical license; RHIT/CPC/CCS-P required for medical policy coding roles; bachelor's preferred.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft SharePoint, Care Planner Web, UCSW, Appeal Pro, Care Radius, Membership, Benefits, Business Objects, CMS websites, Milliman Care Guidelines (MCG-IRR)
1mo
Save
Mark Applied
Hide
Associate Executive Director Of Strategy and Quality & Safety
Manhattan, New York, United States
OnsiteFull Time
10+ YOE10+ MgmtRequires active NY RN registration; Master's in nursing administration/education/clinical specialty with 5 years (3 supervisory) or BSN with 6 years (4 supervisory); minimum 10 years progressive healthcare leadership and 5 years home/community care preferred; knowledge of CMS/DOH/NCQA, QAPI, data analytics; CPHQ preferred.
1d
Save
Mark Applied
Hide
Medical Staff Credentialing Assistant-HSO Medical Staff Services-Mount Sinai Hospital-Remote-Full Time-Days
New York City, New York, United States
$25-$27/hr RemoteFull Time
1+ YOERequires at least 1 year of credentialing experience, preferably in a hospital. A healthcare-related bachelor's degree or equivalent experience is preferred; academic medical center, health system, or CVO experience is strongly preferred.
Microsoft Office Suite, The Joint Commission, CMS, NCQA
1w
Save
Mark Applied
Hide
Principal, Compliance Project Manager
Charlotte or Denver or New York City
$135k-$202k/yr HybridFull Time
5+ YOEBachelor's degree and 5+ years of project management experience required. Requires cross-functional project leadership, strong communication and analytical skills, and advanced Microsoft Office proficiency; compliance experience preferred.
NAVEX, Microsoft Office Suite, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Teams, Microsoft Project, JIRA, Smartsheet, Asana, CMS, HIPAA, URAC, NCQA
1w
Save
Mark Applied
Hide
SPECIALIST - QUALITY MANAGEMENT
Uniondale, New York, United States
$86k-$105k/yr OnsiteFull Time
CenterLight Health System: Providing all-inclusive medical and social care for the elderly.
3+ YOEBachelor's degree in nursing, public health, epidemiology, or related health field; master's preferred. Requires 3-5 years of related experience, regulatory standards knowledge, quality improvement, data analysis, communication, and Microsoft Office proficiency.
PDSA, Six-Sigma, Lean, CMS, NCQA, Microsoft PowerPoint, Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook
1d
Save
Mark Applied
Hide
New Jersey-RN Case Manager
New Jersey or United States or Warren County or Union County or Hudson County or Essex County or Bergen County or Hunterdon County or Somerset County or Mercer County or Monmouth County or Middlesex County or Salem County or Cape May County or Atlantic County or Burlington County or Camden County
$45-$60/hr HybridFull Time
2+ YOEBSN or equivalent, active multistate RN license, CPR/BLS, and 2+ years clinical nursing experience. Requires driver’s license, home-visit travel, and case management, infusion, or complex-care expertise.
Remote Patient Monitoring (RPM), electronic health record (EHR), electronic medical record (EMR), HEDIS, STAR, CMS, NCQA, HIPAA
5d
Save
Mark Applied
Hide
Medical Staff Credentialing Coordinator-HSO Medical Staff Services-Mount Sinai Hospital-Full Time-Days
New York City, New York, United States
$66k-$74k/yr OnsiteFull Time
2+ YOEBachelor's degree in a healthcare-related field or equivalent experience, 2 years of hospital credentialing and privileging experience, and CPCS certification required or obtainable within one year.
The Joint Commission, CMS, NCQA
5d
Save
Mark Applied
Hide
Medical Staff Credentialing Coordinator-HSO Medical Staff Services-Mount Sinai Hospital-Full Time-Days
New York City, New York, United States
$66k-$74k/yr OnsiteFull Time
2+ YOEBachelor's degree in a healthcare field or equivalent experience, 2+ years of hospital credentialing and privileging experience, and CPCS certification required or attainable within one year.
Microsoft Office Suite, The Joint Commission, CMS, NCQA
1w
Save
Mark Applied
Hide
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
1d
Save
Mark Applied
Hide
Medical Staff Credentialing Assistant-HSO Medical Staff Services-Mount Sinai Hospital-Remote-Full Time-Days
New York, New York, United States
$25-$27/hr RemoteFull Time
1+ YOEMinimum 1 year of credentialing experience required, preferably in a hospital; healthcare-related bachelor's degree or equivalent experience preferred. Experience with academic medical centers, health systems, or CVOs preferred.
The Joint Commission, CMS, NCQA, CVO
Explore Jobs
Expand Your Job Search
Top Cities Near New York for Ncqa
- Ncqa jobs in Brooklyn, NY
- Ncqa jobs in Queens, NY
- Ncqa jobs in Manhattan, NY
- Ncqa jobs in The Bronx, NY
- Ncqa jobs in Staten Island, NY
- Ncqa jobs in Newark, NJ
- Ncqa jobs in Jersey City, NJ
- Ncqa jobs in Yonkers, NY
- Ncqa jobs in Paterson, NJ
- Ncqa jobs in Elizabeth, NJ
- Ncqa jobs in Stamford, CT
- Ncqa jobs in Edison, NJ
- Ncqa jobs in Norwalk, CT
- Ncqa jobs in Greenburgh, NY
- Ncqa jobs in Clifton, NJ
- Ncqa jobs in New Rochelle, NY
- Ncqa jobs in Passaic, NJ
- Ncqa jobs in Union City, NJ
- Ncqa jobs in Mount Vernon, NY
- Ncqa jobs in Bayonne, NJ