2mo
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NATIVE Youth Council (NYC) Program Coordinator
Spokane, Washington, United States
$30/hr HybridFull Time
Coordinate youth council program, recruit youth, manage records, coordinate activities and partnerships, ensure GPRA/UDS/NCQA compliance.
Microsoft Office
1w
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Senior Regulatory Implementation and Assurance Analyst
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Missouri or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$79k-$127k/yr HybridFull Time
5+ YOE5+ years interacting with regulators/auditors, bachelor’s degree or equivalent experience, knowledge of regulatory frameworks (HIPAA, NIST, PCI, CMS, NCQA), strong communication, analytics, and project leadership skills.
1mo
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Provider Credentialing Specialist II
Oregon or Washington
$27-$32/hr RemoteFull Time
Prior credentialing or provider licensing experience, Medicare enrollment experience, knowledge of NCQA standards, high school diploma required; bachelor’s preferred; proficient with Adobe, Google Suite, Microsoft Office, and Slack.
Adobe, Google Suite, Microsoft Office, Slack, Medicare Identity and Access System, PECOS
2w
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Utilization Management Coordinator I
Seattle, Washington, United States
$21-$29/hr RemoteFull Time
Performs data entry and review for prior authorizations and hospital notifications; knowledge of CMS/NCQA/HCA coding and benefit rules; strong analytical, communication, and Microsoft Office skills; background check and vaccination requirements.
Microsoft Office
1mo
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Manager, Provider Credentialing and Operations
Springfield or Idaho or Oregon or Montana or Washington or United States
$90k-$158k/yr OnsiteFull Time
5+ YOEBachelor's degree required, 5+ years healthcare or healthcare operations experience, credentialing/provider data management experience (NCQA/HIPAA), supervisory experience preferred, proficiency with Symplr, Facets, Cactus, Microsoft Word and Excel.
Cactus, Facets, Symplr, Microsoft Word, Microsoft Excel
1w
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Senior Credentialing Specialist
Lynnwood, Washington, United States
$27-$41/hr HybridFull Time
3+ YOE3+ years credentialing experience in healthcare; CPCS or CPMSM required within 1 year; strong knowledge of provider licensing, credentialing standards, HIPAA/NCQA/Joint Commission; Microsoft Office proficiency; attention to detail.
Microsoft Office
2w
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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
1d
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Specialist, Health Plan Provider Engagement
Seattle or United States
$83k-$102k/yr FieldFull Time
2+ YOE2+ years improving HEDIS quality and risk adjustment via provider engagement; knowledge of HEDIS/NCQA/CMS STARs; data analysis and reporting; strong communication and relationship-building skills; proficiency with Excel and Power BI.
Microsoft Excel, Microsoft PowerPoint, Microsoft Office, Power BI
1mo
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Manager, Provider Credentialing and Operations
Bend or Idaho or Oregon or Montana or Washington
$90k-$158k/yr OnsiteFull Time
5+ YOE5+ years healthcare or healthcare operations experience; experience in credentialing/provider data management (NCQA familiarity), supervisory experience preferred, Bachelor's degree required (alternatives considered), proficiency with Symplr/Facets/Cactus, Microsoft Word and Excel.
Cactus, Facets, Symplr, Microsoft Word, Microsoft Excel, Databases
1mo
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Program Manager III, Clinical Operations
Seattle or Washington
$93k-$148k/yr RemoteFull Time
5+ YOEBachelor's or equivalent, 5+ years program management experience (healthcare preferred), 3+ years care management operations experience, WA RN or LICSW licensure, knowledge of NCQA/HEDIS/CAHPS/regulatory standards, Microsoft Office and reporting experience.
Microsoft Office
1d
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Manager, Case Management
Alaska or Arizona or Arkansas or California or Colorado or Florida or Georgia or Idaho or Iowa or Kansas or Kentucky or Maine or Michigan or Minnesota or Missouri or Montana or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Washington or Wisconsin
$89k-$152k/yr RemoteFull Time
5+ YOE3+ Mgmt5+ years case management/healthcare experience, 3+ years management experience, current healthcare licensure, CCM required within 24 months, RN preferred, accreditation and process improvement experience.
NCQA, URAC, LEAN, Synectic