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Flexible Ncqa Jobs (NOW HIRING)

Centene

Quality Improvement Project Manager

$70K - $126K/yr

Provide functional and technical knowledge for NCQA/HEDIS across all plan departmental staff and ... and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay ...

Centene

Accreditation Specialist

$56K - $101K/yr

Develop QI, NCQA and HEDIS projects with delegated vendors to support accreditation maintenance and ... and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay ...

New

Neighborhood Health

... in Tennessee to achieve NCQA recognition as a Patient-Centered Medical Home. Our Mission ... Diplomatic skills and the ability to exercise proper judgement, discretion, and be flexible in ...

Managed Staffing

Credentialing Coordinator

Dallas, TX · Remote

$18 - $19/hr

Ensure all files meet compliance standards (NCQA, URAC, CMS, state regulations). Required Skills ... Flexible start times between 7:00 AM - 5:00 PM CST * Option for 30-minute or 1-hour lunch break

Centene

Clinical Appeals Coordinator

$33.71 - $60.67/hr

Responsible for ensuring that all appeal letters generated comply with both State and NCQA ... and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay ...

HealthONE

Credentialing Representative

Dalton, GA · On-site

Assists with ensuring providers are compliant with the NCQA, CMS, DOI and state requirements ... Flexible Spending Account * Health & Wellness Program * Health Savings Account * Life & AD&D ...

Centene

Clinical Appeals Coordinator

OR · On-site +1

$33.71 - $60.67/hr

Responsible for ensuring that all appeal letters generated comply with both State and NCQA ... and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay ...

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How much do flexible ncqa jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for flexible ncqa in the United States is $23.59, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $26.20 per hour, depending on experience, location, and employer.

What is the difference between Flexible Ncqa vs Certified Medical Coder?

AspectFlexible NcqaCertified Medical Coder
CertificationsNCQA accreditation, optional certificationsCertified through AAPC or AHIMA
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, billing companies
Required SkillsKnowledge of healthcare quality standards, coding basicsMedical coding, billing, compliance knowledge

Flexible Ncqa professionals focus on healthcare quality standards and accreditation, often working within healthcare organizations to ensure compliance. Certified Medical Coders specialize in medical coding and billing, primarily working in billing departments or healthcare facilities. While both roles require healthcare knowledge, the main difference lies in their focus: quality assurance versus coding accuracy.

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Flexible Ncqa jobs near you
Infographic showing various Flexible Ncqa job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 29% Part Time, and 3% Contract. Highlights an 82% Physical, 2% Hybrid, and 16% Remote job distribution, with an average salary of $49,069 per year, or $23.6 per hour.

Quality Improvement Project Manager

Centene

Remote

$70K - $126K/yr

Full-time

Medical, Retirement, PTO

Posted 7 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 404 frontline employees who took The Breakroom Quiz

14th of 891 rated healthcare providers

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT

*Qualified candidates must reside in the state of Florida*

Registered Nurse (RN), Licensed Practical Nurse, Licensed Clinical Social Worker (LCSW) or CPHQ certification highly preferred

Position Purpose:

Coordinate and monitor quality improvement and organizational projects from inception to closure including National Committee for Quality Assurance (NCQA) and Healthcare Effectiveness Data and Information Set (HEDIS) preparation.

  • Provide functional and technical knowledge for NCQA/HEDIS across all plan departmental staff and deliver educational sessions to internal staff and external constituents as needed.
  • Coordinate Work Plan, team and resources for HEDIS/Consumer Assessment of Healthcare Providers and Systems (CAHPS) submission to Connector Authority and NCQA.
  • Analyze data and develop presentations and materials for committee and articles for newsletters and other educational pieces.
  • Design, run, and manage the data review process to ensure accuracy and integrity of data reports to meet regulatory and operational requirements.
  • Coordinate and implement interventions to increase HEDIS, CAHPS and designated health measures for the Plan.
  • Adhere to NCQA standards and work with Corporate Director of Accreditation in maintaining Plan's NCQA accreditation.
  • Support the coordination of corporate compliance and external surveys as needed.
  • Monitor the creation of all project deliverables to ensure adherence to standards including design documents, test plans and operations documentation.
  • Support the project life cycle including requirements gathering, creation of project plans and schedules, manage resources, support HEDIS audit process, and facilitate project execution, deployment and closure.
  • Coordinate all data pulls and ongoing data management for HEDIS and QI project management databases for identified QI projects with department staff and corporate contacts. Evaluate sources for alternative data capture; assess ongoing methodology and results.
  • Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans.
Education/Experience: Bachelor's degree in Healthcare, Business or equivalent experience. Master's in Public Health or related field preferred. 4+ years of quality improvement or project management experience in managed care with advanced knowledge of HEDIS and NCQA. Proficiency required in Microsoft applications including PowerPoint, Excel and Access.Pay Range: $70,100.00 - $126,200.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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