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Manager, Clinical Appeals
CareSource
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…
6 days ago
14 NCQA Compliance jobs
Showing 1–14 of 14 jobs
CC
Clinical Appeals Coordinator
Centene Corporation
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.
4 days ago
CC
Lead Clinical Appeals Coordinator
Centene Corporation
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.
3 wk. ago
PH
Clinical Quality Specialist RN - Peak Health
Peak Health
United States (Remote)
Welcome! We’re excited you’re considering an opportunity with us!
2 mo. ago
C
United States (Remote)
$83–132.8K / year
Job Summary: The Manager, Utilization Management is responsible for the oversight of all utilization management activities ensuring consistency of…
2 mo. ago
TC
United States (Remote)
Category: Health Care Location: Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role,…
5 mo. ago
CH
Manager, Utilization Review Nursing
Central Health
United States (Remote)
Overview The Manager, Utilization Review Nursing is responsible for the operational oversight and leadership of Sendero Health Plans’ Utilization…
1 mo. ago
AH
Manager of Care Management
Astrana Health, Inc.
Johnston, Rhode Island, US (Hybrid)
$100–150K / year
About the Role We are currently seeking a highly motivated Manager, Care Management to support our Health Services Outpatient Care Management team at…
1 mo. ago
S
United States (Remote)
$35.00 – $40.00 / hour
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw…
1 yr. ago
R
Bilingual Clinical Nurse Coach (RN)
Renalogic
United States (Remote)
$78–100K / year
Salary based on location: $78,000 - $85,000 if EST or CST; $86,000 - $100,000 if MST or PST.
2 mo. ago
H
Temporary A&G RN
HealthEdge
United States (Remote)
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…
5 days ago
CS
Nurse Practitioner (Per Diem)
ComplexCare Solutions
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…
6 mo. ago
SC
Nurse Practitioner (Per Diem)
SME Colorado
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…
2 mo. ago
CS
Nurse Practitioner (Per Diem)
ComplexCare Solutions
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…
6 mo. ago