Reporting to the Chief Compliance and Regulatory Affairs Officer, the NCQA Manager is an experienced healthcare... professional responsible for leading activities associated with SFHP's NCQA Accreditation, ongoing monitoring and analysis of plan...
on Aging is seeking a Manager to join its team to lead the newly created CalAIM program. The primary responsibility... in compliance with NCQA guidelines. Clearly define roles and responsibilities of all program staff including identifying areas...
Reporting to the Manager, Quality Improvement, the Senior Program Manager, Health Equity & Quality Improvement... and NCQA Health Plan and Health Equity standards. Lead Health Equity organizational projects including health equity strategic...
submission of various documents in the health plan enrollment process. 4) Collaborates with the Director and Program Manager..., NCQA, CMS, DHS, DMHC, ACGME and other applicable accreditation/regulatory requirements. Knowledge of managed care...
and bring them to the attention of the Supervisor/Manager. Analyze, create, and test new tools and processes to enhance the... under the direction of the G&A Supervisor and Manager; identify appropriate resources for tasks and develop appropriate...
Job Summary: Requests and reviews primary source information and verifications, with regular review from manager... and reappointment processes, with regular review from manager; developing standard and nonstandard informational/educational documents...