19 NCQA Standards jobs in United States

Florida, US (Hybrid)

$25.00 – $41.00 / hour

The Administrative Nurse, LPN will support Clinical Review/Utilization Management processes in pre-service medical review, post-service medical…

Florida, US (Hybrid)

$25.00 – $41.00 / hour

The Administrative Nurse, LPN will support Clinical Review/Utilization Management processes in pre-service medical review, post-service medical…

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

This is a remote position.

United States (Remote)

Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated…

United States (Remote)

$81.1–157.1K / year

Workforce Classification: Telecommuter Join Our Team: Do Meaningful Work and Improve People’s Lives Our purpose, to improve customers’ lives by…

United States (Remote)

$93.4–132.4K / year

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Clinical Claims Reviewer/ RN - Remote!

United States (Remote)

$56.4–90.4K / year

Job Summary: Complex Population Service Determination Specialist II is responsible for processing medical necessity and noncommunity supports and…

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

$62.7–97.2K / year

Company : Highmark Inc.

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Clinical Appeals is responsible for the oversight of all clinical appeals activities ensuring consistency of services and…

United States (Remote)

$2.4–10K / month

Overview Nurse Practitioner Per Diem This position covers all zip codes in: Denver County, CO ComplexCare Solutions (CCS) specializes in helping…

United States (Remote)

$87–161.3K / year

This is a remote position; however, candidates must reside in North Carolina.

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

$2.4–10K / year

Overview Nurse Practitioner Per Diem This position covers all zip codes in: Cheshire County, NH ComplexCare Solutions (CCS) specializes in helping…

United States (Remote)

$2.4–10K / month

Overview Nurse Practitioner Per Diem This position covers all zip codes in: Douglas County, CO ComplexCare Solutions (CCS) specializes in helping…

United States (Remote)

$2.4–10K / month

Overview Nurse Practitioner Per Diem This position covers all zip codes in: Weld County, CO ComplexCare Solutions (CCS) specializes in helping those…

United States (Remote)

$2.4–10K / month

Overview Nurse Practitioner Per Diem This position covers all zip codes in: Belnap County, NH ComplexCare Solutions (CCS) specializes in helping…