15h
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Data Analyst - Remote
Chicago or Atlanta or Minneapolis or Omaha or Dallas or Phoenix
$60k-$107k/yr RemoteFull Time
2+ YOE2+ years SQL and healthcare data experience, intermediate Microsoft Excel (PivotTables/dashboards), analytic and communication skills, HEDIS/NCQA knowledge preferred.
SQL, Microsoft Excel, PivotTables
2d
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Credentialing Specialist
Phoenix, Arizona, United States
OnsiteFull Time
2+ YOEMinimum 2 years credentialing/payer enrollment experience in a medical practice, knowledge of CAQH, NPPES/PECOS, NCQA standards, primary source verification, and Microsoft Office.
CAQH, NPPES/PECOS, Microsoft Word, Microsoft Excel, Microsoft Outlook
3w
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Sr. Manager Corporate Compliance-Special Needs Plans
Ohio or Irving or Scottsdale or Woonsocket or Hartford or Northbrook
$83k-$183k/yr HybridFull Time
7+ YOE2+ Mgmt7+ years Medicare/Medicaid compliance experience (SNP focus), 2+ years project management, knowledge of CMS/NCQA/regulations, audit and corrective action experience, strong analytical and communication skills, bachelor’s or equivalent.
Microsoft Office, Archer
1w
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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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Quality Improvement Program Manager - Hybrid
Phoenix or Arizona
HybridFull Time
5+ YOE5+ years healthcare payer/provider experience, Bachelor’s degree required, must reside in Arizona. Experience with NCQA HEDIS and Medicaid managed care, data analysis, reporting, program management, and Microsoft Office. Supervisory experience and ability to travel to stakeholders.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Project, Daptiv, NCQA HEDIS, CMS Core
1mo
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Specialist, Quality
Tucson or Phoenix
OnsiteFull Time
2+ YOEBachelor's in healthcare administration or public health required; 2+ years HEDIS/Risk Adjustment or 4+ years value-based care experience preferred; certifications (CMA, CPT, CNA, or NCQA) OR experience alternatives; EMR and intermediate Microsoft Office skills; bilingual English/Spanish preferred.
Electronic Medical Records (EMR), Microsoft Excel, Microsoft Word, Microsoft PowerPoint