Tallahassee, FL · On-site
Clinical Quality & Performance Improvement F/T or P/T status: Full-time Schedule: As required About ... accreditation activities * Familiarity with NCQA standards, CMS Part C and D requirements, and ...
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Tallahassee, FL · On-site
Clinical Quality & Performance Improvement F/T or P/T status: Full-time Schedule: As required About ... accreditation activities * Familiarity with NCQA standards, CMS Part C and D requirements, and ...
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Employment Type: Part Time
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ...
... NCQA) and utilization review accreditation commission (URAC) certifications. Provides leadership ... Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
... NCQA) and utilization review accreditation commission (URAC) certifications. • Provides ... (P&T) and other committees as directed by the chief medical officer. • Evaluates authorization ...
Florissant, MO · On-site +1
$118K - $219K/yr
URAC and Joint Commission Accreditation experience preferred. Experience with NCQA HEDIS measures ... or part-time status. Total compensation may also include additional forms of incentives. Benefits ...
Florissant, MO · On-site +1
$118K - $219K/yr
URAC and Joint Commission Accreditation experience preferred. Experience with NCQA HEDIS measures ... or part-time status. Total compensation may also include additional forms of incentives. Benefits ...
$28.37 - $29.68
12% of jobs
$29.68 - $30.99
4% of jobs
$30.99 - $32.30
3% of jobs
$32.30 - $33.61
3% of jobs
$33.81 is the 25th percentile. Wages below this are outliers.
$33.61 - $34.92
16% of jobs
$34.92 - $36.23
6% of jobs
The median wage is $37.22 / hr.
$36.23 - $37.54
6% of jobs
$37.54 - $38.85
10% of jobs
$38.85 - $40.17
1% of jobs
$40.94 is the 75th percentile. Wages above this are outliers.
$40.17 - $41.48
22% of jobs
$41.48 - $42.79
16% of jobs
$28
$37
$42
Full-time, Part-time
Re-posted 15 days ago
Locations: Tallahassee, FL
Department: Clinical Quality & Performance Improvement
F/T or P/T status: Full-time
Schedule: As required
About the role:
We are seeking a Quality Care Manager to support Capital Health Plan's clinical quality, patient safety, and performance improvement efforts. This role analyzes qualitative and quantitative data, conducts clinical reviews, and prepares reports related to performance measures, quality outcomes, and patient safety.
The Quality Care Manager plays a key role in coordinating peer review activities, conducting medical record reviews, supporting quality audits, and ensuring compliance with NCQA, CMS, and State of Florida requirements. This position also serves as a resource across the organization by providing consultation on quality improvement, best practices, accreditation standards, and performance measurement initiatives.
We're looking for someone who has:
Highly preferred candidates also have:
About Capital Health Plan (CHP):
CHP is a locally based, not‑for‑profit health maintenance organization serving the Tallahassee region for more than four decades. Founded by community leaders with a mission to deliver high‑quality, affordable, and patient‑centered health care, CHP has grown into a nationally recognized healthcare organization while remaining deeply rooted in the communities it serves.
CHP is proud to be an Equal Opportunity Employer and is committed to maintaining a workplace that values professionalism, integrity, and respect. We provide equal employment opportunities to all employees and applicants and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.
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In 1982, a group of Tallahassee’s civic leaders came together to create a quality, affordable health care system to meet the health needs of the community. Forty years later, Capital Health Plan has become a national health care leader. We started with 5,000 members and a network of 75 doctors. We’ve now grown to more than 135,000 members with a broad network of more doctors, hospitals and other health care providers throughout our service area. A key component of CHP’s delivery system is its employed medical staff, who practice in three state-of-the-art health centers CHP has developed to serve its membership. These health centers are equipped with electronic medical records and can accommodate a broad range of preventive, primary, and specialty care services including evening and weekend urgent care, lab, x-ray, digital mammography, ultrasound, colon screening, eye care services, wound care, and a center focused on the needs of chronically ill members. CHP’s ability to offer this highly organized component of its delivery system provides unique opportunities for adding value. The staff model of CHP’s delivery system is the engine of our program, consistently driving better results on measures of clinical care, member satisfaction, and affordability. As a not-for-profit HMO, we exist to improve the health of our communities by providing high quality, comprehensive health plans with low administrative costs, through primary care focused, patient-centered healthcare.
Health care and social assistance
201 - 500 Employees
Tallahassee, FL, US
1982
