Talent.com
Accreditation Specialist

Accreditation Specialist

VirtualVocationsSignal Hill, California, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.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

serp_jobs.job_alerts.create_a_job

Accreditation Specialist • Signal Hill, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Claims Examiner

Claims Examiner

LanceSoftBrea, CA, US
serp_jobs.job_card.full_time
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adju...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Examiner III

Claims Examiner III

AmpcusLos Angeles, CA, US
serp_jobs.job_card.full_time
Technology and Business consulting services.We are in search of a highly motivated candidate to join our talented team.Location(s) : Los Angeles, CA Key Responsibilities : The Claims Examiner III is ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Workers Compensation Claims Examiner | Dedicated Account | Long Beach, CA (3 Days Remote)

Workers Compensation Claims Examiner | Dedicated Account | Long Beach, CA (3 Days Remote)

SedgwickLong Beach, CA, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Workers Compensation Claims Examiner | Dedicated Account | Long Beach, CA (3 Days Remote).Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to h...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Workers Compensation Claims Examiner | CA Jurisdiction Knowledge Required | Brea, CA

Workers Compensation Claims Examiner | CA Jurisdiction Knowledge Required | Brea, CA

SedgwickBrea, CA, US
serp_jobs.job_card.full_time
Senior Adjuster Workers Compensation - (Hybrid Schedule).By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Workers Compensation | Claims Examiner | Hybrid

Workers Compensation | Claims Examiner | Hybrid

SedgwickLong Beach, CA, US
serp_jobs.job_card.full_time
Workers Compensation Claims Examiner.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the un...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Workers Compensation, Claims Examiner | Hybrid - Brea, CA

Workers Compensation, Claims Examiner | Hybrid - Brea, CA

SedgwickBrea, CA, US
serp_jobs.job_card.full_time
Workers Compensation, Claims Examiner.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the u...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Claims Examiner, FT Days

Senior Claims Examiner, FT Days

PIH HealthWhittier, CA, US
serp_jobs.job_card.full_time
Senior Claims Examiner, FT Days.The Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required gui...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Workers Compensation | Claims Examiner | Dedicated Account | Remote 3 days per week

Workers Compensation | Claims Examiner | Dedicated Account | Remote 3 days per week

SedgwickOrange, CA, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
Workers Compensation | Claims Examiner | Dedicated Account | Remote 3 Days Per Week.By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Workers Compensation Claims Examiner (Dedicated Account)

Workers Compensation Claims Examiner (Dedicated Account)

SedgwickBrea, CA, US
serp_jobs.job_card.full_time
Workers Compensation Claims Examiner (Dedicated Account).By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Bill Reviewer III

Bill Reviewer III

AVONRISKOrange, CA, US
serp_jobs.job_card.full_time
Orange, CA OR Rocklin, CA .Employee is a Lead Bill Reviewer who will assist the Bill Review Supervisor in a variety of functions related to the ultimate goals of the department.This position m...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
Certification Specialist (Multifamily)

Certification Specialist (Multifamily)

Asset LivingLOS ANGELES, CA, US
serp_jobs.job_card.full_time +1
Asset Living is a third-party management firm and a proven partner in fostering thriving communities nationwide.Founded in 1986, Asset Living has decades of experience delivering exceptional value ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Workers Compensation | Claims Examiner | Hybrid - Long Beach, CA

Workers Compensation | Claims Examiner | Hybrid - Long Beach, CA

SedgwickLong Beach, CA, US
serp_jobs.job_card.full_time
Workers Compensation | Claims Examiner | Hybrid - Long Beach, CA.By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
InternalAuditorIII

InternalAuditorIII

VeracityLos Angeles, CA, US
serp_jobs.job_card.full_time
Internal Auditor III (Remote / Hybrid).Internal Auditor III (Remote / Hybrid) Remote | Hybrid We are currently all mainly remote. Candidate must live in California at time of hire and open to coming int...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Liability Claims Examiner (Public Entity) | Must Reside in California

Liability Claims Examiner (Public Entity) | Must Reside in California

SedgwickBrea, CA, US
serp_jobs.job_card.full_time
General Liability Claims Examiner (Public Entity).By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Examiner

Claims Examiner

BizTek PeopleWhittier, CA, US
serp_jobs.job_card.full_time
Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager.They are primarily responsible for the processing functions (operation, adjudication, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Workers Compensation | Claims Examiner | Dedicated Account | Hybrid - Long Beach, CA

Workers Compensation | Claims Examiner | Dedicated Account | Hybrid - Long Beach, CA

SedgwickLong Beach, CA, US
serp_jobs.job_card.full_time
Workers Compensation | Claims Examiner | Dedicated Account | Hybrid - Long Beach, CA.By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Examiner II

Claims Examiner II

AltaMedMontebello, CA, US
serp_jobs.job_card.full_time
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed.At AltaMed, your passion for helping others isn't just welcomed it's nurtured, celebrate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Examiner

Claims Examiner

US Tech SolutionsWhittier, CA, US
serp_jobs.job_card.temporary
Review, adjudicate, and process medical claims for HMO patients.Work closely with affiliated medical groups and hospitals. Evaluate provider reimbursement terms and flag non-contracted providers.Ens...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Examiner III

Claims Examiner III

AltaMedMontebello, CA, US
serp_jobs.job_card.full_time
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed.At AltaMed, your passion for helping others isn't just welcomed it's nurtured, celebrate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Senior Claims Examiner I (San Pedro)

Senior Claims Examiner I (San Pedro)

AmTrust FinancialSan Pedro, CA, United States
serp_jobs.job_card.full_time
Worker's Compensation Transitional Senior Claims Examiner.The Worker's Compensation Transitional Senior Claims Examiner plays a vital role in ensuring operational continuity within the Claims depar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days