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Urac Jobs (NOW HIRING)

MetroPlusHealth

Support Driver

Manhattan, NY · On-site

$51K/yr

Scope of Role & Responsibilities (URAC Core 25d) Material/Supply Administration and Outreach/Promotional Support * To deliver and distribute marketing materials, supplies and equipment as needed to ...

MEDLOGIX, LLC

Medical Records Specialist

Minneapolis, MN · On-site

$18 - $20/hr

Must possess a spoken understanding of URAC accreditation elements relevant to the position, and actively practice and apply such standards as outlined in company policies and procedures. * Mandatory ...

TriWest Healthcare

ECHO Case Manager

Phoenix, AZ · On-site

$19.75 - $25.50/hr

... URAC-recognized certification in case management within four (4) years of hire Preferred: • 2 years' experience working with populations with serious intellectual or physical disabilities • 2 ...

TEEMA Group

RN Case Management - REMOTE

HI · Remote

$86K - $98K/yr

Ability to obtain a URAC-recognized certification in case management within four years of hire. * U.S. citizenship with the ability to obtain a favorable Department of Defense (DOD) background ...

Managed Staffing

Credentialing Coordinator

Dallas, TX · Remote

$18 - $19/hr

Ensure all files meet compliance standards (NCQA, URAC, CMS, state regulations). Required Skills & QualificationsTop 3 Non-Negotiables * Ability to verify licensure, certifications, and education ...

UCLA Health

Specialty Pharmacy Supervisor

Los Angeles, CA · On-site

$144K - $341K/yr

Reporting to the Director of Pharmacy, you will oversee specialty pharmacy operations, manage accreditation requirements (URAC, BOP, ACHC), and ensure compliance with all regulatory and payer ...

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$12

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How much do urac jobs pay per hour?

As of Jul 2, 2026, the average hourly pay for urac in the United States is $19.78, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $19.95 per hour, depending on experience, location, and employer.

What are URACs?

URAC stands for Utilization Review Accreditation Commission, which is an independent, nonprofit organization that accredits healthcare organizations. URAC develops evidence-based standards to ensure quality, accountability, and consumer protection in healthcare. Accreditation from URAC is often required for organizations providing health plans, case management, pharmacy benefit management, and other healthcare services. The process involves rigorous evaluation and continuous improvement to promote best practices in healthcare operations.

What are the key skills and qualifications needed to thrive as a URAC Accreditation Specialist, and why are they important?

To thrive as a URAC Accreditation Specialist, you need a thorough understanding of healthcare compliance, quality assurance, and regulatory standards, often supported by a background in healthcare administration or nursing. Familiarity with URAC standards, accreditation management systems, and quality improvement tools is typically required. Strong attention to detail, analytical thinking, and effective communication skills help ensure successful navigation of complex requirements and collaboration with stakeholders. These skills and qualifications are crucial for maintaining accreditation, supporting organizational excellence, and ensuring adherence to industry best practices.

What is the difference between Urac vs Radiologic Technologist?

AspectUracRadiologic Technologist
CredentialsTypically requires certification or licensing specific to the roleRequires ARRT certification or state licensure
Work EnvironmentHospitals, clinics, diagnostic imaging centersHospitals, outpatient clinics, diagnostic labs
Industry UsageUsed mainly in healthcare settings for diagnostic proceduresCommonly employed in medical imaging and radiology departments
Search & Comparison IntentOften compared for roles in diagnostic imagingRelated 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.

More about Urac jobs
What cities are hiring for Urac jobs? Cities with the most Urac job openings:
What states have the most Urac jobs? States with the most job openings for Urac jobs include:
What job categories do people searching Urac jobs look for? The top searched job categories for Urac jobs are:
Urac jobs near you
Quality Management Clinician - Hybrid

Quality Management Clinician - Hybrid

Community Care Behavioral Health

Pittsburgh, PA

Other

Posted 6 days ago

Job description

UPMC Community Care Behavioral Health is hiring a full-time Quality Management Clinician to join the Quality team. This is a hybrid role that will work onsite at downtown Pittsburgh's US Steel Tower or provider sites three days per week. This role will involve some local travel to providers within the Pittsburgh region.
The Quality Management Clinician is responsible for performing functions related to quality management and improvement, in compliance with NCQA, HEDIS, URAC and the Commonwealth of Pennsylvania Department of Health quality assurance regulations.
Responsibilities:

  • Conduct targeted clinical audits and focused quality studies.
  • Support preparation for NCQA, URAC, and other regulatory or accreditation reviews.
  • Monitor quality tracking reports, provide feedback to staff and committees, and aggregate data on a monthly basis.
  • Analyze data to identify trends related to services and participating providers.
  • Prepare monthly and quarterly quality improvement reports for Board review.
  • Assist in developing and delivering training for providers, members, and staff as assigned.
  • Participate in cross-departmental projects and initiatives as assigned by senior leadership (e.g., Chief Medical Officer, VP of Medical Affairs).
  • Log and report individual and aggregate complaints and grievances; prepare formal reports and ensure timely follow-up and escalation to Quality Management leadership as appropriate.
  • Licensed Registered Nurse or Masters Degree (preference for Counseling, Social Work or related field) required.
  • 3 years clinical experience required. Preference for behavioral health experience.
  • Experience with quality management processes preferred.
  • Familiarity with URAC, NCQA, and HEDIS standards preferred.
  • Strong organizational and time management skills, with the ability to meet deadlines.
  • Proficiency in report writing, Microsoft Excel, and managing large datasets.
  • Ability to collaborate effectively with multidisciplinary staff and external providers.
  • Demonstrated ability to analyze data and identify trends or areas for improvement.
  • Demonstrates strong clinical knowledge of multiple behavioral health and substance use disorder services.
    Licensure, Certifications, and Clearances:
  • Pennsylvania licensure: LSW, LCSW, LPC, licensed MFT, and/or licensed RN (with BSN) is a bonus.
  • NCC certification is a bonus.
    UPMC is an Equal Opportunity Employer/Disability/Veteran

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