Talent.com
Accreditation Specialist

Accreditation Specialist

VirtualVocationsCharleston, South Carolina, United States
1 day ago
Job type
  • Full-time
Job description

A company is looking for an Accreditation Specialist to lead quality improvement efforts and ensure NCQA Health Plan Accreditation.

Key Responsibilities :

Develops and prepares documentation for NCQA and other accreditation surveys submissions

Oversees organizational logistics for required committees and documentation

Works closely with business leads to ensure compliance with accreditation standards

Required Qualifications :

Bachelor's degree or equivalent education and experience in a related field

Healthcare experience, preferably within a managed care organization

2 years of experience working in a healthcare environment

Master's degree in a related field is preferred

1 year of experience with HEDIS measures, Quality, Auditing, or accreditation is desirable

Create a job alert for this search

Accreditation Specialist • Charleston, South Carolina, United States

Related jobs
  • Promoted
Workers' Compensation Claims Examiner

Workers' Compensation Claims Examiner

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Claims Examiner, Medical Only.Key Responsibilities Investigate workers' compensation claims for medical care without lost wages Approve medical treatments, schedule ap...Show moreLast updated: 1 day ago
  • Promoted
State Licensed Actuary

State Licensed Actuary

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for an Actuary to join their Risk team.Key Responsibilities Oversee the design and enhancement of pricing and underwriting models in partnership with Underwriting Leverage s...Show moreLast updated: 30+ days ago
  • Promoted
California Licensed Claims Specialist

California Licensed Claims Specialist

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Claims Specialist (PAWP).Key Responsibilities Adjust claims for assigned PAWP programs Build and maintain relationships with internal and external customers Investiga...Show moreLast updated: 30+ days ago
  • Promoted
Bill of Materials Analyst

Bill of Materials Analyst

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Materials Analyst to support the Maintenance, Repair, and Operations (MRO) department.Key Responsibilities Analyze historical data on equipment wear and failure to cate...Show moreLast updated: 1 day ago
  • Promoted
Michigan Licensed Claims Adjuster

Michigan Licensed Claims Adjuster

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Execute decision-making to analyze and resolve claims while managing claims exposure Interact with var...Show moreLast updated: 30+ days ago
  • Promoted
Arizona Licensed Workers' Comp Adjuster

Arizona Licensed Workers' Comp Adjuster

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Senior Claims Examiner I responsible for examining, investigating, and settling insurance claims efficiently. Key Responsibilities Investigate workers' compensation clai...Show moreLast updated: 1 day ago
  • Promoted
Insurance Specialist - Michigan Licensed

Insurance Specialist - Michigan Licensed

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for an Insurance Specialist to manage financial and insurance information for patients.Key Responsibilities Verify the accuracy and completeness of financial and insurance in...Show moreLast updated: 29 days ago
  • Promoted
  • New!
Scheduler / Insurance Specialist

Scheduler / Insurance Specialist

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Scheduler / Insurance Specialist - Remote.Key Responsibilities Manage patient financial account services, including benefit assessment and insurance verification Coordin...Show moreLast updated: 20 hours ago
  • Promoted
  • New!
Senior Claims Examiner

Senior Claims Examiner

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Senior Claims Examiner to adjudicate complex life insurance claims.Key Responsibilities Lead the adjudication of complex or contested life insurance claims Conduct tho...Show moreLast updated: 18 hours ago
  • Promoted
California Licensed Claims Examiner

California Licensed Claims Examiner

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Workers Compensation Claims Examiner III (Temporary).Key Responsibilities Manage a caseload of 150 to 180 workers' compensation files, including complex claims Conduct...Show moreLast updated: 30+ days ago
  • Promoted
Workers' Compensation Adjuster

Workers' Compensation Adjuster

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Workers' Compensation Claims Adjuster.Key Responsibilities Evaluate and process workers' compensation claims Communicate with claimants, employers, and medical provide...Show moreLast updated: 30+ days ago
  • Promoted
State Licensed Filing Analyst

State Licensed Filing Analyst

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a State Filing Lead Analyst.Key Responsibilities Execute filing strategy to support product filing initiatives and lead projects involving outside vendors Revise existin...Show moreLast updated: 1 day ago
  • Promoted
Senior Commissions Analyst

Senior Commissions Analyst

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Senior Commissions Analyst.Key Responsibilities : Implement and ensure the accurate application of sales compensation plans within the sales compensation system Monitor...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Senior Provider Enrollment Specialist

Senior Provider Enrollment Specialist

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Senior Provider Enrollment Specialist, Fully Remote.Key Responsibilities : Manage the provider enrollment process and serve as the point of contact for client-related qu...Show moreLast updated: 18 hours ago
  • Promoted
  • New!
Licensed Claims Analyst

Licensed Claims Analyst

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Claims Analyst to join their team in a remote capacity.Key Responsibilities Provide exceptional resolution of claim files to ensure a best-in-class claims experience I...Show moreLast updated: 8 hours ago
  • Promoted
California Licensed Provider Enrollment Specialist

California Licensed Provider Enrollment Specialist

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Provider Enrollment Specialist to coordinate health insurance network participation for medical providers. Key Responsibilities Complete provider payer enrollment and re...Show moreLast updated: 30+ days ago
  • Promoted
Title Express Auditor

Title Express Auditor

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Title Express Auditor.Key Responsibilities Perform comprehensive audits of open and closed assignments from various TE teams Conduct full-lot reviews, including call a...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Green Building Certification Specialist

Green Building Certification Specialist

VirtualVocationsCharleston, South Carolina, United States
Full-time
A company is looking for a Green Building Certification Specialist to manage the certification process for sustainable building projects. Key Responsibilities Lead and manage the certification pro...Show moreLast updated: 18 hours ago