ncqa

Partnership HealthPlan of California is seeking a Supervisor to oversee the credentialing team, ensuring timely and accurate processing of credentialing applications for providers and organizations. The role emphasizes leadership, staff training, and adherence to NCQA standards.The position requires a bachelor’s degree and at least three years in...

Quality Performance SpecialistAs part of the Quality Management team, the Quality Performance Specialist is responsible for the coordination and ongoing monitoring of QI program objectives, including the delivery of performance improvement projects for service and clinical activities, integrating the quality improvement plan into all departments, and...

Reporting to the Director, Regulatory Affairs, the NCQA Program Manager is an experienced healthcare professional. You will manage and lead activities associated with SFHP's NCQA Accreditation. These activities include ongoing monitoring and analysis of plan performance against the NCQA standards. Additionally, the manager coordinates all NCQA-related...

Company DescriptionHealthcare Job DescriptionDirector Clinical Quality NCQA Seattle WashingtonExp 5-7 yrsDeg BachelorsReloBonusTravel OccasionalJob DescriptionResponsible for working with the regional head of health care management to direct the clinical quality initiatives, including NCQA accreditation and compliance with regulatory agencies and other...

Elevance Health seeks a HEDIS Audit Quality Manager (State and NCQA) to lead HEDIS submissions across lines of business and regions, ensuring timely reporting to NCQA, CMS and state regulators. The role offers a hybrid work model with in-office collaboration 1–2 days per week. You will interface with internal and external clients, manage audit processes,...

Resp & Qualifications We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables...

Western Health AdvantageLocation: Sacramento, CA (Hybrid)Salary: $70,304–$85,000 annually"Purpose that inspires. Impact that improves lives. Join us in building healthier communities." Western Health AdvantageStrengthen Quality. Support Advance Credentialing Excellence.Western Health Advantage is seeking an experienced Credentialing Specialist to support...

Anticipated End Date:2026-10-30Position Title:HEDIS Audit Quality Manager (State and NCQA)Job Description:HEDIS Audit Quality Manager (State and NCQA Audits)Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This...

Summary Of Position Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members’ health care needs, identifying gaps in care and needed support, administering/coordinating implementation of interventions. Support and enable members to manage their...

DescriptionJob Description Job Summary Leads and manages Quality Systems performance managers, demonstrating accountability for people performance, delivery outcomes, and execution of quality system initiatives. Oversees a portfolio of quality data and performance improvement activities, ensuring teams are resourced, aligned, and operating in accordance with...

Are you a RN with a strong Quality background with hands on experience with NCQA accreditation expereince? Do you have this expereince in a Managed Care setting? If you have answered YES to these two important questions, read on you just might be a match for this job! THIS IS A NEWLY CREATED POSITION AT THIS COMPANY. Here is more of what our qualified...

Id : 7868 Category : Physician Location/City : VT - St. Johnsbury Salary Range : 0.00 - 0.00 per year (Permanent) Job Type : Permanent Recruiter Email : Internist or Family Practitioner needed for NCQA level 3 Patient Centered Medical Home/Rural Health Center. There are two groups looking for primary care physicians, both with at least five other providers...

Summary of PositionProvide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members’ health care needs, identifying gaps in care and needed support, administering/coordinating implementation of interventions. Support and enable members to manage their...

Elevance Health in Atlanta, GA is seeking a JR206997 Clinical Quality Program Manager to oversee quality improvement activities for one or more states within a major line of business. This role emphasizes NCQA Accreditation readiness and ongoing compliance with accreditation standards to improve member care quality.The position requires collaboration with...

Elevance Health is seeking a Clinical Quality Program Manager to lead state-level quality strategy and Accreditation readiness efforts. The role requires partnering with clinical, compliance, and business teams to ensure NCQA standards are interpreted, implemented, and monitored across programs.The position emphasizes data-driven analysis, performance...

Anticipated End Date: 2026-10-30 Position Title: HEDIS Audit Quality Manager (State and NCQA) Job Description: HEDIS Audit Quality Manager (State and NCQA Audits) Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance....

Powerback Rehabilitation to You is seeking a Credentialing Coordinator to manage credentialing activities for therapists with health plans. You will research payer requirements, submit applications, and maintain credentialing databases across NCQA standards. The role requires 2+ years in provider credentialing, proficiency in MS Office, and familiarity with...

Sage Dental Management is a leading, rapidly growing Dental Service Organization (DSO) committed to innovation, excellence, and patient-centered care.OverviewSage is looking for aDelegated Credentialing Specialist(Remote) to join our team! TheDelegated Credentialing Specialistis responsible for organizing, maintaining, and verifying all aspects of the...

Sage Dental Management is a leading, rapidly growing Dental Service Organization (DSO) committed to innovation, excellence, and patient-centered care.OverviewSage is looking for aDelegated Credentialing Specialist(Remote) to join our team! TheDelegated Credentialing Specialistis responsible for organizing, maintaining, and verifying all aspects of the...

Description NCQA is hiring an Associate General Counsel, Programs and Privacy About the Opportunity NCQA is at an important point in its evolution as the nation’s leading independent authority on healthcare quality. As NCQA modernizes its accreditation, measurement, data, research, digital quality, and enterprise operations, the legal function must be more...