13 NCQA Guidelines jobs

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)

Overview The Manager, Utilization Review Nursing is responsible for the operational oversight and leadership of Sendero Health Plans’ Utilization…

United States (Remote)

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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…

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)

$62.7–97.2K / year

Company : Highmark Inc.

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.

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)

$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)

$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…