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Our Primary Care Network is a NCQA Level 3 recognized Patient Centered Medical Home. Bristol Health Medical Group has a full array of medical and surgical specialists. J-1 and H1B visa sponsorship available.
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Support the RFP and RFI processes in all LTSS markets with participation in meetings and SME revisions with proposal writers and provide guidance to or participate in including orals presentations- Support NCQA recertification in all LTSS markets- Actively participate in SAI activities to identify and appropriately convert eligible members to LTSS products- Assure compliance with State contracted mandates for cost, quality, and care management initiatives.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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As part of the Care Team, understands the NCQA Patient Center Medical Home Standards and expectations. We are both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC.
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Knowledge of current National Committee for Quality Assurance (NCQA)/Utilization Review Accreditation Committee (URAC) standards. Ensures day-to-day processes are conducted in accordance with NCQA, URAC, and other regulatory standards.
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We're also nationally recognized as a NCQA Level III Medical Home. That kind of progressive leadership makes us perfect fit for OptumCare and UnitedHealth Group's expanding family of providers.
Full-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Assists Supervisor in various audits (NCQA, Calendar Audits, Account specific audits, etc.) This role is WAH which allows work to be performed at home. Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality.
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Knowledge of NCQA and/or JCAHO Accreditation standards. Maintains and updates continuing medical education/ACLS credits and other training requirements. Maintains correspondence files and credentialing archival files.
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CHC is designated as a federally qualified health center and a patient-centered medical home by HRSA, the Joint Commission, and NCQA, respectively. CHC is designated as a federally qualified health center and a patient-centered medical home by HRSA, the Joint Commission, and NCQA, respectively.
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Their Adult Medicine Department diabetes program has been recognized by the NCQA. In addition, the department has a top-performing Ryan White program and a robust Care Coordination Team. Reporting to the Chief Medical Officer, the Clinical Director, in collaboration with the Nurse Manager, Practice Manager, and Director of Infectious Diseases will provide general oversight and leadership of the department.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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ProHealth Physicians is nationally recognized as an NCQA Level III Patient-Centered Medical Home and has received CMS approval as an Accountable Care Organization. Ancillaries On-site: Blood draw, Echo, Ultrasound.
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Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines.
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Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) standards a plus. eviCore has one the largest Radiology Prior Authorization program in the country, providing you a chance to impact clinical change on a nationwide scale while supporting patients in all U.S. time zones.
Full-timeRemoteExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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For instance, we're a C.M.S. approved Accountable Care Organization (ACO), covering over 30,000 Medicare patients associated with our community-based primary care providers. Formed in 1997, ProHealth Physicians has grown to become Connecticuts leading primary care physician organization.
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EviCore has one of the largest Prior Authorization programs in the country, providing you a chance to impact clinical change on a nationwide scale while supporting patients in all U.S. time zones. Work collaboratively with over 400 eviCore Physician Peers to help ensure patients receive proper care via evidence based decision making.
Full-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Our organization is designated as a federally qualified health center and a patient centered medical home by HRSA, the Joint Commission, and NCQA, respectively. Our organization is designated as a federally qualified health center and a patient centered medical home by HRSA, the Joint Commission, and NCQA, respectively.
Full-timeExpandUpdated 27 days ago
ncqa job in Farmington, CT
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