- UpvoteDownvoteShare Job
- Suggest Revision
Strong understanding of healthcare quality measures, including NCQA HEDIS measures, measures derived from EHR and other standardized datasets, administrative data, and public health databases. Manage the process of NCQA certification for HEDIS measures, including data collection, submission, and validation.
ExpandUpdated 9 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Knowledge of the Medicare Advantage STARS program and NCQA technical specifications. Required Certified Professional Coder (CPC-I) certification, Certified Risk Adjustment (CRC) coder AAPC certification, and Certified Professional Medical Auditor (CPMA) certifications from AAPC (to obtain CPMA within 120 days from date of hire, if applicant does not currently possess.
ExpandUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Leads initiatives to achieve recognition as Patient-Centered Medical Homes (PCMH) under NCQA standards. Responsible for achieving programmatic requirements with other entities and payors such as the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid services (CMS), and Central California Alliance for Health (CCAH.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Promote timely access to appropriate and encompassing care in compliance with standards set forth through HRSA and NCQA. Its expanded mission has made it one of the nation's largest HIV/AIDS, lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) healthcare organizations.
$58,700 - $73,300 a yearFull-timeExpandUpdated 8 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Adheres to all Corporate and Departmental policies and ensures all regulatory requirements such as DOH, CMS, Medicaid, and accreditation requirements such as NCQA , URAC and HEDIS functionalities are met or exceeded.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
You will participate in measure certification processes, such as the NCQA certification process for HEDIS measures. Understanding of quality measurement standards, regulations, and accreditation requirements, including NCQA, CMS, and other regulatory bodies.
RemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Familiarity with healthcare regulatory requirements, including NCQA accreditation standards and CMS quality reporting programs. Ensure compliance with NCQA standards and requirements for quality measurement and reporting.
RemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Bachelor's or Master's degree in Health Informatics, Statistics, Public Health, Epidemiology, or a related field. Statistical Software: SAS, R, Python. Data Visualization Tools: Tableau, Power BI, ggplot2 (in R.
RemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Proficiency in data manipulation, analysis, and visualization using tools such as SQL, Python, R, SAS, or similar. Business Intelligence Tools: Looker, Mode Analytics. This individual will play a key role in analyzing, coding, and interpreting quality measures from various data sources, standardized and non-standardized datasets such as EHR, MDS, OASIS, and claims.
RemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Certification in Healthcare Quality (e.g., Certified Professional in Healthcare Quality - CPHQ). Machine Learning Frameworks: TensorFlow, scikit-learn. We also honor and respect the needs of our Net Health family and staff, which is why we offer a work-from-anywhere environment and unlimited PTO. Our welcoming and collaborative culture paired with progressive benefits makes Net Health the ultimate career home.
RemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Our software and predictive analytics cover the continuum of care, from hospital-to-home, across various medical specialties. Collect, calculate, analyze and integrate data from diverse sources, standardized and non-standardized datasets such as EHR, MDS, OASIS, and claims.
RemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Programming Languages: Python, R. Database Management Systems: MySQL, PostgreSQL. Experience working with healthcare data sets and familiarity with data integration techniques and methodologies. Identify opportunities for process improvement, automation, and innovation in quality measurement and analytics.
RemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The manager collaborates with administrators, medical staff, and other disciplines to ensure alignment with evidence-based population health management practices (NCQA PCMH and Health Equity Accreditations.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Experience working in a healthcare analytics or quality improvement role within a healthcare organization or consulting firm. A high-growth and profitable company, we help caregivers harness data for human health.
RemoteExpandApply NowActive JobUpdated Today
ncqa job
FEATURED BLOG POSTS
Is There a Slow Decline of the Labor Market and Wage Growth?
BLS data from January 2023 to March 2023 states that,
2023 Quarterly Review: What’s Happening in Recruitment?
It’s that time again. It’s your quarterly review. Get excited because this is a great time to review some of the amazing accomplishments you and other pros like you have made in recruitment for 2023 thus far! Despite recruitment challenges, things are starting to balance out in the candidate market - partly because of the brilliant ideas and methods being used.
Project Coordinator Resume Guide with Tips and Samples
Project coordinators fall within the field of project management, which tends to be a field with a lot of opportunity. In short, project coordinators differentiate themselves from project managers due to the responsibilities related to their work. While project managers have a hands-on approach for managing a team, project coordinators ensure the success of a project from the background. They handle administrative and organizational tasks related to delegation, establishing project objectives, or performing digital administrative tasks.
Land a Production Supervisor Job With These 5 Resume Tips
Have you been working as a team lead on a factory floor or in a manufacturing plant for several years? Do you consider yourself a leader who excels at managing and coaching others? Can you monitor and optimize production processes? Do you recognize the importance of employee safety and compliance? If you’re answering yes to all of these questions, then you’re definitely in the right place.
Assistant Manager Resume Guide
It can be very challenging for many individuals to find a job in the current economy. As a result, the unemployment rate is only starting to decrease after being at its highest since the Great Depression. One of many reasons this is occurring is because this pandemic has encouraged people to quit their jobs to search for better working conditions, become entrepreneurs, or change careers.
The Ultimate Guide to Writing a Stellar Sales Manager Resume
Have you been working in sales for several years now and feel ready to move up the career ladder? Do you enjoy leading sales teams and developing strategies to drive company sales? Would you describe yourself as a strong communicator, negotiator, and closer? If so, then there’s a good chance that a sales manager position might be the ideal fit for you.
The Ins and Outs of Building a Resume From a Bar Manager Job Description
Many people turn their noses up at bartending jobs, as they do for most jobs in the food service industry. Little do they know, bartenders possess a lot of unique skills. Even though these jobs can require little to no education, bartenders must go through extensive training or schooling. Additionally, the demand for these jobs is extremely high, and the career growth opportunities often bring bartenders into management positions after years of experience.