NCQA Project Manager Remote 4 months contract Phone + video Job Description: Our health plan client... is looking for a consultant for a 4-month, remote project. They need someone that can project manage them through the NCQA accreditation process...
and other relevant software systems and applications. General Job Information Title Compliance Manager - Onsite or Remote Grade 27...Serves as the lead contract compliance and regulatory manager for the State of Idaho Medicaid contract. Responsible...
and support on all quality metrics to key stakeholders. Support NCQA/CMS/HEDIS/CAHPS/HOS and other regulatory requirements... quality performance to provide insight to future projects. Develop annual performance improvement projects; analyze project...
accuracy and completeness of work-measure/project instructions, NCQA/HEDIS® specifications, coding documents, quick reference... responsibilities would be further defined by the hiring manager. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote...
accuracy and completeness of work-measure/project instructions, NCQA/HEDIS® specifications, coding documents, quick reference... responsibilities would be further defined by the hiring manager. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote...
to promote superior clinical results. The ISNP/IESNP Manager provides strategic direction, leadership and oversight.../federal health plan requirements, Medicare guidelines, NCQA and health plan requirements. Provides long-term planning...
team, and The Power of Every One. Job Title Program Manager III -- Value Based Performance Location Cleveland... Facility Remote Location Department Market and Network Services MNS-Finance Job Code T31030 Shift Days Schedule 8:00am...
Incident & Event Manager will be reporting to the Manager, ITSM and manage all of IEHP’s IT related Critical Incidents... and Event management activities. The Engineer III - Major Incident & Event Manager applies understanding and knowledge...
Strategic Sourcing Manager II is responsible for the delivery of best-in-class strategic sourcing, contract management..., delivery-focused environments. Our Investment in You: Full-time remote work Competitive salaries Excellent benefits Key...
relevant experience including 3 years of management experience gained as a team leader, supervisor, or project/program manager... necessity and hospital acquired conditions/never events. The Manager, Utilization Management Nurse Management will report...
in provider engagement, care gaps closure, and other project management opportunities. Position Purpose: Provide leadership... for Quality Assurance (NCQA) Accreditation and compliance with contractual requirements. Responsible for overall coordination...
experience, 4 years' experience in project management and implementations 2 years supervisory or team leadership experience... Experience in performing delegation oversight and monitoring multiple delegated functions, Knowledge of NCQA. CMS regulations...
, creating plans and schedules, managing resources, and facilitate project execution and deployment. Utilize corporate... expectations and business objectives. Manage projects through the full project life cycle. Provide leadership and effectively...
SQL and HEDIS experience is required to be considered for this position. Remote position working East Coast hours..., and reporting to meet all requirements of National Committee for Quality Assurance (NCQA) and regulatory. Applying both business...
, including evaluating improvement opportunities Manager the coordinate HEDIS projects to include assignment of nurses, adherence... Administration or equivalent experience. 3+ years of quality improvement, HEDIS project management or health care related experience...
for their Rochester, NY/ Remote location. Responsibilities: All Levels: Responsible for the implementation of new groups, renewals... with MTM, Corporate Service strategy, NCQA, and legislative requirements. Interacts with Operations, Enrollment and Billing...
, project management, material preparation and quality improvement support to the team for HEDIS© improvement, NCQA.... This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace...
Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan... a current CA RN License Certified Case Manager (CCM) Certification or is in process of completing certification when eligible...