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Remote Ncqa Jobs in California (NOW HIRING)

Director of Claims- Healthcare

Chatsworth, CA · On-site +1

$130K - $160K/yr

... CMS, NCQA, contractual, and health plan requirements, supporting TMS's commitment to service ... Paid time off, flexible schedule, and remote work one day per week Plus, we work to maintain the ...

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Remote Ncqa information

What is the difference between Remote Ncqa vs Remote Medical Reviewer?

AspectRemote NcqaRemote Medical Reviewer
Required CredentialsMedical license, NCQA certificationMedical license, specialty-specific certifications
Work EnvironmentHome-based, administrative tasks, data reviewHome-based, clinical review of medical records
Industry UsageHealthcare quality organizations, insurance companiesInsurance companies, healthcare providers
Common Search/ComparisonRemote Ncqa vs Remote Medical Reviewer

Remote Ncqa and Remote Medical Reviewer roles both involve healthcare quality and review tasks, often working from home. While both require medical credentials, Remote Ncqa focuses on healthcare quality standards and accreditation, whereas Remote Medical Reviewers primarily evaluate medical records for insurance claims or clinical accuracy. Understanding these differences helps job seekers identify roles aligned with their certifications and career goals.

What skills and qualifications are needed to thrive as a remote NCQA professional?

To thrive as a Remote NCQA professional, you need a comprehensive understanding of healthcare quality standards, accreditation processes, and regulatory compliance, often supported by experience in healthcare administration or related certifications. Familiarity with NCQA guidelines, quality management software, and electronic health record (EHR) systems is typically required. Strong attention to detail, analytical thinking, and effective communication skills are crucial for success in remote environments. These skills ensure the accurate evaluation and implementation of quality standards, which are vital for maintaining accreditation and improving patient care outcomes.

What is a remote NCQA job?

Remote NCQA jobs are positions that involve working from home or another remote location to support the standards and accreditation processes of the National Committee for Quality Assurance (NCQA). These roles often include responsibilities such as quality assurance, healthcare compliance, auditing, and documentation review for healthcare organizations. Remote NCQA professionals may work as auditors, consultants, or quality analysts, helping ensure healthcare organizations meet NCQA standards for accreditation. These jobs require knowledge of NCQA guidelines and strong attention to detail, as well as experience in healthcare administration or quality improvement.

What are common challenges faced by professionals working remotely in NCQA roles, and how can they be addressed?

Professionals working remotely in NCQA (National Committee for Quality Assurance) roles often face challenges such as coordinating effectively with cross-functional teams, managing detailed documentation, and staying up-to-date with evolving accreditation standards. To address these, it’s important to leverage collaboration tools, establish regular virtual meetings, and maintain organized digital records. Staying engaged with professional development opportunities and NCQA updates can also help remote team members remain effective and compliant.
What cities in California are hiring for Remote Ncqa jobs? Cities in California with the most Remote Ncqa job openings:

Practitioner Recruiting Director (Remote)

Klarity Health

Santa Monica, CA • Remote

$50K - $80K/yr

Part-time

Re-posted 7 days ago


Job description

About Klarity

Klarity is bringing the future of telehealth to psychiatry. Trusted by 6,000+ patients, Klarity has provided over 100K e-visits for patients in 25 states for evaluation and treatment. We are developing the most advanced telehealth techniques to help patients and providers to have a safe, secure, and private environment.

Position Summary

We are looking for a practitioner recruiting director to manage the recruitment process and onboarding training of eligible practitioners. He/she will also assist and support the onboarded practitioners on the administration side. On the high level, He/she will directly work with Klarity medical team to improve and streamline the workflow.

Salary & Benefit

  • Job Type: Full-time / Part-time / Contractor
  • Pay: $35~$55/hour $50K~80K/Year plus commission.
  • Healthcare/Dental Insurance Applied
  • Flexible hours
  • Remote working friendly

Qualifications

  • Bachelor's (Preferred)
  • Physician/Provider Recruitment: 3 years (Preferred)
  • Healthcare-related: 3 years (Preferred)

Primary Responsibilities

  • Proactively outreach potential providers or eligible private practice.
  • Phone/video screening potential providers in a friendly, professional, and knowledgeable manner.
  • Conduct background checks, license verification, and credentialing.
  • Efficiently onboard caregivers with complete orientation & training.

Secondary Responsibilities

  • Develop, improve and streamline recruitment strategies & onboarding processes.
  • Monitor compliance for local and federal healthcare laws and policies.
  • Manage & help practitioner's success through daily admin support & monthly sync-up call.

Skills And Knowledge

  • Proficient at general & healthcare-specific recruiting platforms with proactive recruiting approaches.
  • High level of interpersonal skills, with the ability to effectively manage provider relationships, to promote and maintain positive relationships. Build trust and rapport through excellent communication skills, both oral and written.
  • Familiar with the policy and regulation of healthcare, telehealth, nursing board, and DEA.
  • Ability to conduct efficient license verification, and credentialing compliance with NCQA protocol.
  • Demonstrated experience in core functions of physician practice operations, including provider relations, patient flow, revenue cycle, quality, service excellence, purchasing and inventory, and teamwork, and accountability.

Our Mission & Values

Klarity is devoted to making psychiatric care efficient and affordable for everyone. We value the quality of care and patient/provider experience highly. We believe we can help build a future for everyone by ensuring how we work is aligned with our core values of trust, empathy, and proactive.

Employment Type: PART_TIME