Talent.com
Accreditation Specialist

Accreditation Specialist

VirtualVocationsSan Buenaventura, California, United States
30+ days 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 • San Buenaventura, California, United States

Related jobs
  • Promoted
Workers' Compensation Claims Examiner

Workers' Compensation Claims Examiner

VirtualVocationsSan Buenaventura, California, 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: 30+ days ago
  • Promoted
Senior Claims Examiner

Senior Claims Examiner

VirtualVocationsSan Buenaventura, California, 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: 30+ days ago
  • Promoted
California Licensed Senior Claims Adjuster

California Licensed Senior Claims Adjuster

VirtualVocationsOxnard, California, United States
Full-time
A company is looking for a Senior Claims Adjuster Workers Compensation.Key Responsibilities Manage claims by analyzing exposure, planning actions, and resolving claims effectively Communicate ex...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Hawaii Licensed Claims Trainee

Hawaii Licensed Claims Trainee

VirtualVocationsOxnard, California, United States
Full-time
A company is looking for a Guardian Associate (Workers Compensation Claims Trainee).Key Responsibilities Participate in structured learning through instructor-led sessions, online modules, and jo...Show moreLast updated: 1 hour ago
  • Promoted
  • New!
Temporary Fact Checker

Temporary Fact Checker

VirtualVocationsSan Buenaventura, California, United States
Full-time
A company is looking for a temporary Fact Checker.Key Responsibilities Verify factual accuracy of content across editorial sections, including text and visuals Evaluate writers' arguments for lo...Show moreLast updated: 13 hours ago
  • Promoted
  • New!
Health Underwriter

Health Underwriter

VirtualVocationsSan Buenaventura, California, United States
Full-time
A company is looking for a Health Underwriter for a 6-month remote contract assignment.Key Responsibilities Enter RFP data into underwriting rating modules for new and renewal groups Review RFP ...Show moreLast updated: 13 hours ago
  • Promoted
  • New!
Stop Loss Claims Examiner

Stop Loss Claims Examiner

VirtualVocationsSan Buenaventura, California, United States
Full-time
A company is looking for a Stop Loss Examiner.Key Responsibilities Manage a block of business and audit Stop Loss claims according to policy provisions Adjudicate claim reimbursements within spe...Show moreLast updated: 5 hours ago
  • Promoted
  • New!
Life Claims Analyst

Life Claims Analyst

VirtualVocationsSan Buenaventura, California, United States
Full-time
A company is looking for a Life Claims Analyst to evaluate claims accurately and promptly while ensuring compliance with regulations. Key Responsibilities Determine complex claim benefits based on...Show moreLast updated: 7 hours ago
  • Promoted
California Licensed Claims Specialist

California Licensed Claims Specialist

VirtualVocationsSan Buenaventura, California, 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
Reimbursement Analyst

Reimbursement Analyst

VirtualVocationsOxnard, California, United States
Full-time
A company is looking for a Reimbursement Analyst III to provide functional expertise and leadership for a healthcare organization's implementation project. Key Responsibilities Serve as a key func...Show moreLast updated: 1 day ago
  • Promoted
Michigan Licensed Workers Compensation Adjuster

Michigan Licensed Workers Compensation Adjuster

VirtualVocationsOxnard, California, 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
State Licensed Filing Analyst

State Licensed Filing Analyst

VirtualVocationsOxnard, California, 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: 2 days ago
  • Promoted
New York Licensed Claims Examiner

New York Licensed Claims Examiner

VirtualVocationsOxnard, California, United States
Full-time
A company is looking for a Senior Claims Examiner I.Key Responsibilities Investigates and evaluates insurance claims through contact with involved parties Negotiates claims effectively to achiev...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Florida Workers' Compensation Adjuster

Florida Workers' Compensation Adjuster

VirtualVocationsOxnard, California, United States
Full-time
A company is looking for a Workers Compensation Legal Claim Adjuster.Key Responsibilities Evaluate claims based on Florida Statute and case law to determine compensability and total value; set re...Show moreLast updated: 13 hours ago
  • Promoted
  • New!
Workers Compensation Adjuster (GA Licensed)

Workers Compensation Adjuster (GA Licensed)

VirtualVocationsOxnard, California, United States
Full-time
A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Manage claims by analyzing exposure, planning actions, and resolving claims effectively Communicate wi...Show moreLast updated: 11 hours ago
  • Promoted
Arizona Licensed Workers' Comp Adjuster

Arizona Licensed Workers' Comp Adjuster

VirtualVocationsOxnard, California, 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
Licensed Claims Analyst

Licensed Claims Analyst

VirtualVocationsOxnard, California, 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: 1 day ago
  • Promoted
  • New!
Licensed Insurance Quoter

Licensed Insurance Quoter

VirtualVocationsSan Buenaventura, California, United States
Full-time
A company is looking for an Insurance Quoter to provide accurate insurance quotes for various policies.Key Responsibilities : Review and analyze client information to determine appropriate coverag...Show moreLast updated: 13 hours ago