ZipRecruiter

Log In

2

Remote Ncqa Jobs in Texas (NOW HIRING)

next page

Showing results 1-20

All JobsNcqa JobsRemote Ncqa JobsRemote Ncqa Jobs in Texas

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 are popular job titles related to Remote Ncqa jobs in Texas? For Remote Ncqa jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Remote Ncqa jobs in Texas look for? The top searched job categories for Remote Ncqa jobs in Texas are:
What cities in Texas are hiring for Remote Ncqa jobs? Cities in Texas with the most Remote Ncqa job openings:
Remote Ncqa jobs near you

Credentialing Coordinator - Remote Dallas, TX

Adecco

Dallas, TX • Remote

$18.20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

An industry-leading healthcare organization is seeking a detail-oriented Credentialing Specialist to join their team. This role is responsible for ensuring clinicians successfully navigate the credentialing process by assisting with applications, performing primary source verifications (PSV), and maintaining compliance databases.

The ideal candidate will have strong medical staff credentialing experience, hands-on knowledge of NCQA standards, and high proficiency with Google Suite.

Position Details

  • Pay Rate: $18.20/hour

  • Contract Duration: August 3, 2026 – December 31, 2026 (with potential for extension or conversion)

  • Schedule: Monday – Friday, 7:30 AM – 4:30 PM CST

  • Work Location:

    • Fully Remote (U.S.)

    • Note: If you are based in the Dallas, TX area, this role requires being onsite approximately twice a month (every other Tuesday).

  • Requirements: Pre-employment drug screen and proof of reliable home internet (speed test screenshot) are required for remote workers.

Key Responsibilities

  • File Management: Review, process, and track credentialing and re-credentialing files timely and in accordance with NCQA policies.

  • Primary Source Verification: Query appropriate organizations, check state licenses, DEA certificates, malpractice coverage, background checks, and health screenings.

  • Committee Preparation: Assemble and organize verified clinician files for presentation to the Credentialing Committee.

  • Database Maintenance: Utilize credentialing databases (such as MD Staff) to run queries, generate reports, and maintain accurate provider profiles.

  • Compliance & Security: Ensure all files meet internal policies, client contracts, URAC guidelines, and federal/state requirements. Maintain the strict privacy of all protected health information (PHI).

  • Stakeholder Support: Provide highly professional, timely email and administrative support to both internal teams and external clinicians.

Required Qualifications

  • Experience: 1–3+ years of dedicated medical staff (hospital-based) credentialing experience.

    • Note: This position is not looking for payer enrollment or Medicare/Medicaid provider enrollment backgrounds.

  • Verification Skills: Direct experience completing Primary Source Verifications (PSV).

  • Compliance Knowledge: Working knowledge of NCQA accreditation standards.

  • Technical Skills: Intermediate to advanced proficiency with Google Suite (Gmail, Sheets, Docs).

  • Education: High school diploma or equivalent.

Preferred Qualifications

  • 2–5 years of total credentialing experience in a hospital or health system environment.

  • Experience utilizing the MD Staff database.

  • CPCS (Certified Provider Credentialing Specialist) or NAMSS certification (or willingness to obtain within 2 years).


Pay Details: $18.20 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.