- Highmark Health (Washington, DC)
- …Description :** **JOB SUMMARY** This job is responsible for working with HHO clinical departments in the areas of compliance and process improvement. Serves ... as a corporate resource regarding accreditation standards, clinical performance and continuous improvement...maintenance of Care Management policies and procedures to ensure accreditation and compliance with NCQA and DMMA… more
- Trinity Health (Silver Spring, MD)
- …regulatory compliance and quality improvement. **Job Title: Regulatory, Accreditation Coordinator ** **Employment Type: Full Time** **Position Type: Exempt(** ... Type:** Full time **Shift:** Day Shift **Description:** The Regulatory and Accreditation Coordinator is responsible for ensuring the hospital remains… more
- CVS Health (Washington, DC)
- …clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... and/or member's needs to ensure appropriate administration of benefits. + Applies clinical judgment to the incorporation of strategies designed to reduce risk… more
- CVS Health (Washington, DC)
- …clients - Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... and/or member's needs to ensure appropriate administration of benefits - Applies clinical judgment to the incorporation of strategies designed to reduce risk factors… more