RemoteOtterRemoteOtterExplore 20 Remote Ncqa Jobs
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Prime Therapeutics
Join Prime Therapeutics as a Physician Clinical Reviewer in Pediatric Neurology, focusing on medical necessity reviews and utilization management.
OCHIN
Join OCHIN as an Enrollment Specialist, responsible for managing payor enrollment processes and credentialing applications in a fully remote position.
Centene Management Company
The Program Manager II will lead healthcare quality initiatives and collaborate with stakeholders to improve member outcomes.
Cohere Health
Cohere Health is seeking a Weekend RN Supervisor to lead the RN Reviewer team, ensuring performance and quality standards in a fully remote setting.
Cohere Health
The RN Supervisor, Clinical Operations is responsible for leading the RN Reviewer team, ensuring performance metrics are met while providing operational guidance and support.
Wellmark
The Network Program Manager will oversee network contracting and management programs, ensuring compliance and collaboration across various teams in a hybrid work environment.
Centene Management Company
The HEDIS Coordinator ensures the accuracy of HEDIS data and oversees quality improvement initiatives in healthcare.
Pair Team
The Credentialing Specialist manages the credentialing process for healthcare providers, ensuring compliance and operational efficiency.
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Morgan Stephens
Join a leading healthcare organization as a remote Behavioral Health Utilization Management Clinician to ensure quality care for behavioral health services.
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Morgan Stephens
Seeking a Utilization Management Nurse with a focus on behavioral health to review service authorization requests.
Pearl
Join our team as a Credentialing Specialist focusing on ABA Therapy in a fully remote role.
Centene Management Company
Join Centene as a Quality Data Coordinator to ensure HEDIS data accuracy and support quality improvement initiatives in healthcare.
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MI_TSLCPC Trinity Health Pace
Join MediGold as a Lead Quality/STARS Technical Analyst, focusing on HEDIS and Medicare Stars data analysis.
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Molina Talent Acquisition
The Delegation Oversight Nurse ensures compliance with healthcare regulations and assists in oversight duties for Molina Healthcare's UM delegates.
knownwell
The Payor Credentialing Specialist will manage credentialing processes and support payer enrollment to ensure provider coverage for knownwell's services.