10 ncqa jobs at 8 companies in Pasadena, TX

2mo
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Sr. Value-Based Healthcare Data Analyst - Kelsey-Seybold, Pearland, TX
Pearland, Texas, United States
$92k-$164k/yr OnsiteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
3+ YOEBachelor’s in health informatics or related; 3+ years healthcare data analytics; Medicare Advantage/Marketplace experience; NCQA HEDIS; EPIC Clarity/Caboodle; SQL, ETL, BI tools.
SQL, Tableau, Power BI, Crystal Reports, EPIC Clarity, EPIC Caboodle, Excel
3w
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Credentialing Coordinator / Senior - Orthopedics
Bellaire, Texas, United States
OnsiteFull Time
UTHealth Houston
UTHealth Houston: Provides medical education, biomedical research, and clinical healthcare services.
3+ YOE3+ years credentialing or medical staff coordination experience; Associate's degree or equivalent; knowledge of NCQA/URAC/Joint Commission rules; intermediate Microsoft Word/Excel proficiency; CPCS preferred.
Microsoft Office, Microsoft Word, Microsoft Excel
1w
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Multi-Site Certified Senior Medical Assistant - Specialty Care Clinic Float (Cypress)
Cypress or Cypress
OnsiteFull Time
Houston Methodist
Houston Methodist: A non-profit health system providing comprehensive hospital and specialty medical services.
5+ YOECertified MA with 5+ years medical assistant experience in specialty or complex chronic disease management; BLS required; CLIA/HIPAA/NCQA knowledge; EMR proficiency and strong communication and clinical skills.
Electronic Medical Record (EMR), MyChart
1mo
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Nurse - Clinical Review
Houston, Texas, United States
$65k-$75k/yr RemoteFull Time
WNS
WNSNYSE: WNS: Provides global business process management and digital transformation services.
1+ YOEActive unrestricted RN or LPN/LVN license; 1+ year utilization review experience; proficient in Microsoft Word, Excel, and PowerPoint; knowledge of NCD/LCD, insurance terminology, and URAC/NCQA standards.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
2w
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Manager, Credentialing & Provider Enrollment
Houston, Texas, United States
OnsiteFull Time
Texas Children's Hospital
Texas Children's Hospital: Provides specialized pediatric and maternal healthcare and clinical research.
8+ YOE8+ years healthcare credentialing experience, high school diploma (associate/bachelor preferred or may substitute for years), credentialing certification preferred, supervisory experience preferred, knowledge of NCQA and TJC requirements.
3w
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Sr. Manager, Physician Practice Manager - The Woodlands OBGYN - The Woodlands, TX
The Woodlands, Texas, United States
OnsiteFull Time
Memorial Hermann
Memorial Hermann: Provides integrated healthcare services and hospital management in Texas.
5+ YOE3+ Mgmt5+ years related healthcare experience with at least 3 years supervisory experience; knowledge of medical practice management domains, regulatory standards (CLIA, HIPAA, NCQA, OSHA), strong communication and performance management skills.
2mo
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Senior Physician Practice Manager
Sugar Land, Texas, United States
OnsiteFull Time
Memorial Hermann
Memorial Hermann: Provides integrated healthcare services and hospital management in Texas.
5+ YOE3+ MgmtOversee day-to-day practice operations; 5 years healthcare experience with 3 years supervisory; Bachelor's preferred; knowledge of CLIA, HIPAA, NCQA, OSHA; strong communication; focus on patient, provider, and staff satisfaction.
6d
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Senior Account Manager, Client Success
Houston or Texas or United States
$90k-$117k/yr RemoteFull Time
Labcorp
LabcorpNYSE: LH: Provides clinical laboratory testing and drug development services globally.
6+ YOEBachelor's degree,6+ years managing complex health plan customers,strong knowledge of HEDIS/Medicare Stars/NCQA,Salesforce experience,excellent communication,analytical and executive presence,ability to travel up to 20%.
Salesforce.com
3w
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Care Manager - RN (ACM)
Houston, Texas, United States
$80k-$94k/yr HybridFull Time
Astrana Health
Astrana HealthNASDAQ: ASTH: Operates technology-powered platforms to coordinate and deliver medical care.
2+ YOETexas RN license, ADN required (BSN preferred), 2+ years clinical nursing experience, care plan and assessment experience, EHR and Microsoft Word proficiency, knowledge of CMS/NCQA, strong communication and critical thinking.
Electronic Health Records (EHR), Microsoft Word
1mo
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Sr Applications Project Specialist- Epic Healthy Planet Certified- Kelsey-Seybold Clinic - Pearland Texas - Remote
Pearland or Minneapolis or Washington or United States
$92k-$164k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
4+ YOE4+ years systems experience in healthcare or business operations; Epic Healthy Planet certification (or attain within 12 months); strong clinical vocabulary knowledge (LOINC, ICD, CPT); project management, reporting, and stakeholder communication skills; valid Texas driver's license; occasional travel.
Healthy Planet, Epic, Compass Rose, MyPanel, Campaigns, HEDIS, LOINC, ICD, CPT, NCQA