- Integra Partners (Troy, MI)
- The Quality & Accreditation Specialist is responsible for coordinating and maintaining accreditation activities for the Utilization Management (UM) and ... Credentialing departments. This includes supporting NCQA accreditation , implementing quality monitoring initiatives, conducting internal reviews, and… more
- Henry Ford Health System (Jackson, MI)
- …understanding of medical staff credentialing and regulatory requirements. Experience with accreditation standards (eg, Joint Commission, NCQA , URAC, HFAP). ... Credentialing Specialist - Medical Staff Affairs - Days Location:...medical staff meetings, and ensuring compliance with regulatory and accreditation standards. The coordinator serves as a key resource… more
- Trinity Health (Livonia, MI)
- …Medicare and Medicaid (CMS), The Joint Commission (TJC), and National Commission for Quality Assurance ( NCQA ) rules and regulations that govern credentialing and ... with applicable rules and regulations. Coordinates projects to improve the quality and efficiency of the credentialing and privileging process. **ESSENTIAL FUNCTIONS… more
- Molina Healthcare (Ann Arbor, MI)
- …complaint with the applicable state, federal, contractual requirements, National Committee for Quality Assurance ( NCQA ), and Molina requirements for the health ... all components of audit activities comply with contractual, regulatory, and accreditation requirements. * Conducts detailed and focused audits on delegates'… more