Washington, DC · On-site
$125K - $160K/yr
... URAC scoring methodology, providing constructive written feedback for areas of non-compliance and discussing findings with the applicants in an educational manner • Conducts onsite and/or virtual ...
New
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Washington, DC · On-site
$125K - $160K/yr
... URAC scoring methodology, providing constructive written feedback for areas of non-compliance and discussing findings with the applicants in an educational manner • Conducts onsite and/or virtual ...
New
Washington, DC · On-site
$98K - $108K/yr
Case manager certification preferred (as documented and accepted on URAC's website at www.urac.org). * 3 to 5 years of nursing/social work experience required, including working with Medicaid ...
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Washington, DC · On-site
$98K - $108K/yr
Case manager certification preferred (as documented and accepted on URAC's website at www.urac.org). * 3 to 5 years of nursing/social work experience required, including working with Medicaid ...
Fairfax, VA · On-site
$18 - $21.75/hr
Perform job assignments in full compliance and complete understanding of URAC, state and federal laws and internal policies and procedures governing the handling, dispensing and distribution of ...
Fairfax, VA · On-site
$18 - $21.75/hr
Perform job assignments in full compliance and complete understanding of URAC, state and federal laws and internal policies and procedures governing the handling, dispensing and distribution of ...
Reston, VA · On-site
$68.75 - $80.75/hr
Knowledge of legislative/oversight bodies (e.g., URAC-Utilization Review Accreditation Commission, CMS-Centers for Medicare & Medicaid Services, NCQA-National Committee for Quality Assurance)
Reston, VA · On-site
$68.75 - $80.75/hr
Knowledge of legislative/oversight bodies (e.g., URAC-Utilization Review Accreditation Commission, CMS-Centers for Medicare & Medicaid Services, NCQA-National Committee for Quality Assurance)
$23 - $28/hr
Conduct primary source verification for education, licensure, board certification, malpractice, and work history per NCQA, URAC, and regulatory standards. * Identify and resolve inconsistencies or ...
Quick apply
$23 - $28/hr
Conduct primary source verification for education, licensure, board certification, malpractice, and work history per NCQA, URAC, and regulatory standards. * Identify and resolve inconsistencies or ...
Supports the Quality Management Department and Company-wide Quality Initiatives such as HEDIS, CAHPS and NCQA/URAC: * Reviews Quality indicators and makes recommendations for improvement * Compiles ...
Supports the Quality Management Department and Company-wide Quality Initiatives such as HEDIS, CAHPS and NCQA/URAC: * Reviews Quality indicators and makes recommendations for improvement * Compiles ...
Bethesda, MD · On-site
$23 - $28.50/hr
Conduct primary source verification for education, licensure, board certification, malpractice, and work history per NCQA, URAC, and regulatory standards. * Identify and resolve inconsistencies or ...
Bethesda, MD · On-site
$23 - $28.50/hr
Conduct primary source verification for education, licensure, board certification, malpractice, and work history per NCQA, URAC, and regulatory standards. * Identify and resolve inconsistencies or ...
Supports the Quality Management Department and Company-wide Quality Initiatives such as HEDIS, CAHPS and NCQA/URAC: * Reviews Quality indicators and makes recommendations for improvement * Compiles ...
Supports the Quality Management Department and Company-wide Quality Initiatives such as HEDIS, CAHPS and NCQA/URAC: * Reviews Quality indicators and makes recommendations for improvement * Compiles ...
Supports the Quality Management Department and Company-wide Quality Initiatives such as HEDIS, CAHPS and NCQA/URAC: * Reviews Quality indicators and makes recommendations for improvement * Compiles ...
Supports the Quality Management Department and Company-wide Quality Initiatives such as HEDIS, CAHPS and NCQA/URAC: * Reviews Quality indicators and makes recommendations for improvement * Compiles ...
Ensure all reviews and engagements align with URAC, NCQA, and internal quality standards. * Document peer interactions and clinical decisions in a timely and accurate manner. * Participate in ...
Ensure all reviews and engagements align with URAC, NCQA, and internal quality standards. * Document peer interactions and clinical decisions in a timely and accurate manner. * Participate in ...
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
Washington, DC · On-site
$95 - $109/hr
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
Washington, DC · On-site
$95 - $109/hr
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
Washington, DC · On-site
$95 - $100/hr
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
Washington, DC · On-site
$95 - $100/hr
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate ...
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate ...
Pursue URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN) upon eligibility. Other state licenses/certifications as required by law. Valid driver's license required. OTHER ...
Pursue URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN) upon eligibility. Other state licenses/certifications as required by law. Valid driver's license required. OTHER ...
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
New
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
New
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
Pursue URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN) upon eligibility. Other state licenses/certifications as required by law. Valid driver's license required. OTHER ...
Pursue URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN) upon eligibility. Other state licenses/certifications as required by law. Valid driver's license required. OTHER ...
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
New
... URAC) and National Committee for Quality Assurance (NCQA) guidelines. * Aids and acts as a resource to Initial Clinical Reviewers. * Ensures documentation of all communications with medical office ...
New
$12.75 - $14.39
5% of jobs
$14.39 - $16.03
8% of jobs
$16.03 - $17.67
3% of jobs
$17.67 - $19.30
0% of jobs
$19.54 is the 25th percentile. Wages below this are outliers.
$19.30 - $20.94
58% of jobs
$20.94 - $22.58
17% of jobs
$22.58 - $24.21
1% of jobs
$24.21 - $25.85
2% of jobs
$25.85 - $27.49
2% of jobs
$27.49 - $29.12
2% of jobs
$29.12 - $30.76
1% of jobs
$12
$20
$30
| Aspect | Urac | Radiologic Technologist |
|---|---|---|
| Credentials | Typically requires certification or licensing specific to the role | Requires ARRT certification or state licensure |
| Work Environment | Hospitals, clinics, diagnostic imaging centers | Hospitals, outpatient clinics, diagnostic labs |
| Industry Usage | Used mainly in healthcare settings for diagnostic procedures | Commonly employed in medical imaging and radiology departments |
| Search & Comparison Intent | Often compared for roles in diagnostic imaging | Related but broader role in radiology services |
While both Urac and Radiologic Technologists work in healthcare settings involving diagnostic imaging, Urac roles are often more specialized or specific to certain procedures, whereas Radiologic Technologists have a broader scope in medical imaging and radiology services. Understanding these differences helps in choosing the right career path or job search focus.
$125K - $160K/yr
Full-time
Posted 9 hours ago
MAJOR PURPOSE OF THIS JOB: The Accreditation Reviewer is an expert in the content and interpretation of accreditation programs and standards. Primary responsibilities include analyzing accreditation application documentation and conducting validation reviews. Key additional responsibilities include participating in the standards development/revision process, providing educational instruction, and responding to inquiries related to interpretation of the accreditation standards.
JOB DUTIES AND RESPONSIBILITIES:
Conducts all aspects of accreditation reviews, including:
•Manages the client relationship as the primary point of contact for assigned applications
•Communicates with applicants utilizing positive customer relation skills
•Serves as a technical expert for accreditation program and standard content and interpretation
•Conducts Desktop Review of applications including analyzing submitted documentation in accordance with URAC scoring methodology, providing constructive written feedback for areas of non-compliance and discussing findings with the applicants in an educational manner
•Conducts onsite and/or virtual Validation Reviews
•Documents and presents findings of applications to Accreditation Committees
•Assists in providing technical support and advice to URAC Accreditation and Standards Committees including supporting the accreditation standards development/revision process
•Assists in the development of program guides, educational workshop and webinar content, validation review tools, and other resources that facilitate consistent interpretation and application of program standards
•Serves in the role of an educator for standards educational workshops and webinars
•Assists in providing technical support for Research & Development, Sales & Marketing, and other URAC department as requested
•Participates in the development, testing, and deployment of information support systems for the Accrediting & Client Services Department
•Other duties as assigned
PHYSICAL REQUIREMENTS:
•Requires extensive travel (70-80%)
•Sedentary work in an office environment, moderate lifting (30 lbs. to 50 lbs.)
•Visually inspect surroundings, written materials and electronic media
•The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
•Position requires Reviewers are entering health care facilities that mandate that the URAC Reviewer is vaccinated and updated on vaccines including COVID vaccine.
EXPERIENCE, KNOWLEDGE, AND SKILL REQUIREMENTS:
•Advanced reasoning, analysis, language ability (reading, writing and speaking)
•Excellent written and verbal communication and presentation skills
•Ability to communicate effectively and work collaboratively with colleagues, other healthcare professionals, clients and other stakeholders
•Exceptional organizational skills
•Ability to work independently
•Strong negotiation, critical thinking, and problem-solving skills
•Ability to handle conflict and to exercise sound judgment
•Cognitive and interpersonal flexibility
•Computer skills required include Windows Operating System Microsoft Software; Excel, Word, and PowerPoint
•A valid US passport and valid driver’s license is required
EDUCATION AND TRAINING REQUIREMENTS:
•A Doctor of Pharmacy (PharmD) or Bachelor’s degree in Pharmacy with a minimum of three (3) years of pharmacy practice experience,
•OR a registered Nurse with a bachelor’s degree in a health-related field (Master’s Degree preferred) with a minimum of three (3) years of pharmacy industry or accreditation experience.
Specialty pharmacy and/or managed care pharmacy experience preferred.
LICENSURE/BOARD CERTIFICATION REQUIREMENTS:
•Possess a current and active license as a Pharmacist or Registered Nurse in at least one state (in the United States).
Sourced by ZipRecruiter
Health care and social assistance
51 - 200 Employees
Washington, DC, US
1990
