This is a remote role Position Summary Position Summary AAPC is seeking an experienced leader to ... HITRUST, Joint Commission, NCQA, URAC, SOC 2, ISO, or similar frameworks. * Healthcare compliance ...
This is a remote role Position Summary Position Summary AAPC is seeking an experienced leader to ... HITRUST, Joint Commission, NCQA, URAC, SOC 2, ISO, or similar frameworks. * Healthcare compliance ...
Manager Utilization and Care Management
Murray, UT · On-site +1
$44.99 - $69.44/hr
Ensure compliance with regulatory bodies (NCQA, CMS, Joint Commission) and patient safety ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Manager Utilization and Care Management
Murray, UT · On-site +1
$44.99 - $69.44/hr
Ensure compliance with regulatory bodies (NCQA, CMS, Joint Commission) and patient safety ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Remote Ncqa information
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 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 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 is the difference between Remote Ncqa vs Remote Medical Reviewer?
| Aspect | Remote Ncqa | Remote Medical Reviewer |
|---|---|---|
| Required Credentials | Medical license, NCQA certification | Medical license, specialty-specific certifications |
| Work Environment | Home-based, administrative tasks, data review | Home-based, clinical review of medical records |
| Industry Usage | Healthcare quality organizations, insurance companies | Insurance companies, healthcare providers |
| Common Search/Comparison | Remote 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 are popular job titles related to Remote Ncqa jobs in Utah?
For Remote Ncqa jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Remote Ncqa jobs in Utah look for?
The top searched job categories for Remote Ncqa jobs in Utah are:
What cities in Utah are hiring for Remote Ncqa jobs?
Cities in Utah with the most Remote Ncqa job openings:
Full-time
Re-posted 24 days ago
Job description
This is a remote role
Position Summary
Position Summary
AAPC is seeking an experienced leader to oversee innovative healthcare accreditation / assurance programs that support trust, transparency, operational excellence, and industry best practices related to medical coding and use of AI.
This role will lead the development of new program frameworks, assessment methodologies, governance models, and industry-facing assurance offerings designed to advance quality, accountability, and confidence across evolving healthcare environments.
The successful candidate will work closely with healthcare organizations, technology companies, industry experts, regulators, and strategic partners to develop scalable assurance programs that address emerging industry needs.
Responsibilities
What We Offer
About AAPC:
AAPC (www.aapc.com) is the world's largest and fastest-growing training, certification, and solutions association in healthcare.
AAPC Values:
DRIVEN | Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
HUMBLE | Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
TRANSPARENT| Integrity-centered, honest, truthful, and trustworthy in all aspects of work. Keeps commitments to external and internal parties. Holds self strictly accountable, valuing the trust placed in them by others.
SUPPORTIVE | Empowers and uplifts others. Listens actively and responds with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.
INNOVATIVE | Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly.
AAPC is an Equal Opportunity Employer.
This company is committed to fairness and equal opportunity in our hiring practices. We do not discriminate on grounds unrelated to a candidate's ability to perform the duties of the job. Our focus is on finding the best person for each role, based on merit and fit, to ensure success both for our company and for the individual's professional growth.
We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin, or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above-listed items.
Position Summary
Position Summary
AAPC is seeking an experienced leader to oversee innovative healthcare accreditation / assurance programs that support trust, transparency, operational excellence, and industry best practices related to medical coding and use of AI.
This role will lead the development of new program frameworks, assessment methodologies, governance models, and industry-facing assurance offerings designed to advance quality, accountability, and confidence across evolving healthcare environments.
The successful candidate will work closely with healthcare organizations, technology companies, industry experts, regulators, and strategic partners to develop scalable assurance programs that address emerging industry needs.
Responsibilities
- Lead development of new healthcare assurance and certification programs.
- Design assessment methodologies, standards frameworks, review procedures, and surveillance processes.
- Establish governance models, operational policies, and quality management processes.
- Monitor emerging healthcare, technology, regulatory, and compliance trends and incorporate them into program design.
- Collaborate with internal and external subject matter experts to develop standards and assessment criteria.
- Support pilot programs, market validation efforts, and strategic partnerships.
- Develop assessor qualification requirements and reviewer training programs.
- Represent AAPC in industry forums, advisory groups, and stakeholder meetings.
- Support commercialization, adoption, and growth of new assurance offerings.
- Build scalable operational infrastructure supporting long-term program expansion.
- Healthcare accreditation, certification, or assurance programs.
- HITRUST, Joint Commission, NCQA, URAC, SOC 2, ISO, or similar frameworks.
- Healthcare compliance, governance, quality, or risk management.
- Healthcare technology assessment and evaluation.
- Program development and implementation.
- Stakeholder engagement and industry collaboration.
- 10+ years of healthcare quality, accreditation, compliance, assurance, certification, governance, or related experience.
- Demonstrated success developing or managing standards-based programs.
- Strong understanding of healthcare operations, regulatory environments, and quality frameworks.
- Experience working across multiple stakeholder groups including healthcare organizations, technology companies, consultants, and regulators.
- Exceptional leadership, communication, and program management skills.
What We Offer
- Competitive salary and benefits package.
- Flexible, remote work environment.
- The opportunity to make a significant impact on our business and work with a fun, collaborative team.
- Professional development and growth opportunities.
About AAPC:
AAPC (www.aapc.com) is the world's largest and fastest-growing training, certification, and solutions association in healthcare.
AAPC Values:
DRIVEN | Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
HUMBLE | Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
TRANSPARENT| Integrity-centered, honest, truthful, and trustworthy in all aspects of work. Keeps commitments to external and internal parties. Holds self strictly accountable, valuing the trust placed in them by others.
SUPPORTIVE | Empowers and uplifts others. Listens actively and responds with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.
INNOVATIVE | Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly.
AAPC is an Equal Opportunity Employer.
This company is committed to fairness and equal opportunity in our hiring practices. We do not discriminate on grounds unrelated to a candidate's ability to perform the duties of the job. Our focus is on finding the best person for each role, based on merit and fit, to ensure success both for our company and for the individual's professional growth.
We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin, or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above-listed items.
About AAPC
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Salt Lake City, UT, US
Year founded
1988