A company is looking for a Provider Network Compliance Specialist to ensure compliance with regulatory requirements for provider networks.
Key ResponsibilitiesManage compliance activities related to Medicare Advantage and Qualified Health Plan regulationsDevelop, review, and update department policies and procedures, providing training to staffMonitor network availability standards and assist in the provider termination processRequired QualificationsBachelor's Degree in Business or Health Care Administration or related field3 years of progressive experience in provider network relations, health plan accreditation, or complianceExperience in health plan government programs (Medicare, Medicaid) is a plusStrong knowledge of CMS regulatory requirements and NCQA standardsIntermediate Microsoft Office skills (Word, Excel, and PowerPoint)
Provider Network Compliance Specialist
A company is looking for a Provider Network Compliance Specialist to ensure compliance with regulatory requirements for provider networks. ...
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A company is looking for a Clinical Network Provider Requests Specialist. ...
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