Talent.com
Accreditation Specialist

Accreditation Specialist

VirtualVocationsVisalia, California, United States
job_description.job_card.variable_hours_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 • Visalia, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Accreditation Specialist

Accreditation Specialist

VirtualVocationsFresno, California, United States
serp_jobs.job_card.full_time
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 NC...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Workers' Compensation Claims Examiner

Workers' Compensation Claims Examiner

VirtualVocationsFresno, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
New York Licensed Claims Examiner

New York Licensed Claims Examiner

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
State Licensed Filing Analyst

State Licensed Filing Analyst

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Michigan Licensed Insurance Specialist

Michigan Licensed Insurance Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Specialist to work remotely in Michigan.Key Responsibilities Identify and verify the accuracy of financial, insurance, and demographic information for patien...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Claim Examiner I, CA

Senior Claim Examiner I, CA

AmTrust FinancialFresno, CA, United States
serp_jobs.job_card.full_time
Workers Compensation Claims Adjuster III, CA is responsible for prompt efficient review and disposition of insurance claims through effective research, evaluation, investigation, negotiation and in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Claims Examiner I

Senior Claims Examiner I

AmTrust FinancialFresno, CA, United States
serp_jobs.job_card.full_time
Transitional Senior Claims Examiner.This specialized, full-time role is designed for seasoned professionals who can step in to manage open desks or oversee pending claims during an adjuster's leave...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Michigan Licensed Claims Adjuster

Michigan Licensed Claims Adjuster

VirtualVocationsFresno, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Senior Claims Adjuster

California Licensed Senior Claims Adjuster

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Adjuster Workers Compensation.Key Responsibilities Execute decision-making to analyze claims exposure and resolve claims effectively Interact with variou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Claims Specialist

California Licensed Claims Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Green Building Certification Specialist

Green Building Certification Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Arizona Licensed Workers' Comp Adjuster

Arizona Licensed Workers' Comp Adjuster

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Wisconsin Licensed Claims Examiner

Wisconsin Licensed Claims Examiner

VirtualVocationsFresno, California, United States
serp_jobs.job_card.full_time
A company is looking for a Workers Compensation Claims Examiner I.Key Responsibilities Manage an assigned medical-only caseload of workers' compensation claims Determine compensability of claims...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Claims Examiner

California Licensed Claims Examiner

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Pre-Certification Coordinator

Pre-Certification Coordinator

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Pre-Certification Coordinator I (Remote) - Surgery.Key Responsibilities Initiates and facilitates the pre-determination process with insurance companies Maintains dail...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Insurance Senior Specialist

Insurance Senior Specialist

VirtualVocationsFresno, California, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Sr.Specialist to manage complex accounts and support team operations remotely.Key Responsibilities Resolve complex accounts and act as a subject matter exper...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Senior Commissions Analyst

Senior Commissions Analyst

VirtualVocationsFresno, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Insurance Specialist - Michigan Licensed

Insurance Specialist - Michigan Licensed

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Reimbursement Analyst

Reimbursement Analyst

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Senior Claims Examiner

Senior Claims Examiner

VirtualVocationsFresno, California, United States
serp_jobs.job_card.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...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30