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Temp Ncqa Jobs (NOW HIRING)

Credentialing Specialist

Summit, NJ · On-site

$32 - $34/hr

Maintain compliance with standards from organizations such as The Joint Commission (TJC) or NCQA ... ATD is a full service provider with offerings in Contract, Permanent and Temp-to-Perm staffing ...

Prepare files for audits (TJC, CMS, NCQA) and conduct compliance reviews * Maintain and audit ... Record, transcribe, and maintain Medical Staff meeting minutes as needed * Assist with temporary ...

Prepare files for audits (TJC, CMS, NCQA) and conduct compliance reviews * Maintain and audit ... Record, transcribe, and maintain Medical Staff meeting minutes as needed * Assist with temporary ...

HEDIS LPN RN

New York, NY

$33 - $43.75/hr

HEDIS 2015 Record Collection- Temps to assist with record collection and data abstractions and/or ... NCQA, governing and regulatory agency requirements, and the managed care industry. Ability to ...

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How much do temp ncqa jobs pay per year?

As of Sep 3, 2026, the average yearly pay for temp ncqa in the United States is $55,973.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,500.00 and $58,000.00 per year, depending on experience, location, and employer.

What cities are hiring for Temp Ncqa jobs?

Cities with the most Temp Ncqa job openings:

What are the most commonly searched types of Ncqa jobs?

The most popular types of Ncqa jobs are:

What states have the most Temp Ncqa jobs?

States with the most job openings for Temp Ncqa jobs include:

Infographic showing various Temp Ncqa job openings in the United States as of August 2026, with employment types broken down into 8% As Needed, 83% Full Time, 6% Part Time, and 3% Contract. Highlights an 69% Physical, 3% Hybrid, and 28% Remote job distribution, with an average salary of $55,973 per year, or $26.9 per hour.

Utilization Management Pharmacist (temp-to-hire)

Capital Rx

Manhattan, NY • On-site

$125K - $130K/yr

Other

Re-posted 7 days ago


Job description

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.

Position Summary:

The Utilization Management Pharmacist plays a vital role in promoting safe, effective, and appropriate medication use. This position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing expert guidance to members, providers, and pharmacies. The role combines clinical decision-making with a strong focus on service excellence in a fast-paced, collaborative environment.

Position Responsibilities:

  • Review and make timely, evidence-based decisions on prior authorizations, appeals, and override requests using clinical guidelines and benefit criteria.
  • Ensure compliance with federal, state, and internal regulations across Commercial, Exchange, Medicare, and Medicaid plans.
  • Accurately document clinical decisions and maintain thorough records in accordance with regulatory and accreditation (URAC/NCQA) utilization review standards.
  • Provide clear, empathetic support to members, prescribers, and pharmacies by responding to clinical inquiries via phone, demonstrating professionalism, active listening, and a patient-centered approach.
  • Stay current with clinical prescribing guidelines, internal policies, and regulatory changes, and apply them to daily responsibilities.
  • Follow all internal procedures, job aids, and HIPAA guidelines to protect patient privacy and data security.
  • Identify and report potential fraud, waste, and abuse.
  • Support training and development of new and existing team members as needed.
  • Assist leadership with special projects, process improvements, and operational initiatives

Minimum Qualifications:

  • Minimum of 6 months to a year of prior authorization or utilization management experience
  • Active, unrestricted, pharmacist license
  • Bachelor's or Doctor of Pharmacy degree
  • Minimum of 2 years of pharmacy practice experience
  • Experience in managed care or pharmacy benefit management (PBM)
  • Strong communication, writing, and organizational skills
  • Ability to manage multiple priorities in a high-volume, metric-driven environment
  • Availability to work after hours, weekends, and holidays on a rotating schedule

Preferred Qualifications:

  • Call center experience

This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job.

Remote, US Salary Range
$125,000—$130,000 USD

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found athttps://www.judi.health/legal/privacy-policy.