Top 2911 Ncqa Jobs | SimplyHired

Director of Compliance
PROVIDER RESOURCES INC —Remote
- $165,000 - $190,000 a year
- Full-time
- Remote
- Senior level
- Leadership
- 10 years
Quick Apply
Manager of Compliance Audit
PROVIDER RESOURCES INC —Remote
- $105,000 - $155,000 a year
- Full-time
- Remote
- 5 years
- Senior level
- Analytics
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Credentialing Specialist
Clarity RCM —Remote
- Full-time
- Remote
- Mid-level
- Communication skills
- Commercial
Quick Apply
Healthcare Quality Management Specialist (Remote)
MRIoA —Remote
- Full-time
- Remote
- Microsoft Word
- Background check
- 5 years
- Paid holidays
- Health insurance
Quick Apply
Population Health Analyst
Software Technology Inc —Remote
- Remote
- Microsoft Excel
- Research
- Mid-level
Quick Apply
Customer Care Representative - WFH Connecticut
Medical Transportation Management (MTM, Inc.) —Connecticut
- $16.94 an hour
- Full-time
- Remote
- Computer literacy
- Typing
- Entry level
- Wellness program
- Continuing education credits
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Physician
Community Care Physicians —Town of Ballston, NY
- $275,000 a year
- Full-time
- Private practice
- Medicine
- Internal Medicine
- Health insurance
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Market Physician Executive (MPE)
Monogram Health Professional Services —Brunswick, GA
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Market Physician Executive (MPE) - Float
Monogram Health Professional Services —Georgia
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Market Physician Executive (MPE)
Monogram Health Professional Services —Valdosta, GA
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Lead Physical Therapist (req 101058)
Whitney M Young Jr Health Center —Watervliet, NY
- $80,000 - $100,000 a year
- Customer service
- BLS Certification
- Physical & Rehabilitation Medicine
Quick Apply
Travel- RN PCU/Stepdown
Infojini Inc —Morgantown, WV
- $2,600.32 a week
- Weekends as needed
- Background check
- Experience working with individuals with developmental disabilities
- Anatomy knowledge
- Health insurance
- Dental insurance
Quick Apply
10d
Market Physician Executive (MPE) - Atlanta, GA
Monogram Health Professional Services —Atlanta, GA
- On call
- Medicine
- Critical & Intensive Care
- Travel
- Health insurance
- Dental insurance
Quick Apply
Physician
Agape Health Services —Washington, NC
- Full-time
- HIPAA
- Inpatient
- Outpatient experience
- Loan repayment program
- Health insurance
Quick Apply
RN/LPN Nurses
Life Care Centers of Sullivan —Sullivan, MO
- Full-time
- Background check
- Nursing
- Vital signs
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse (RN)
Brown Wilcox Assisted Living —Berlin, WI
- $33 - $37 an hour
- Part-time
- Vital signs
- Patient monitoring
- RN License
- Health insurance
Quick Apply
Market Physician Executive (MPE) - Float
Monogram Health Professional Services —Savannah, GA
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Engineer III - EDI
Inland Empire Health Plan —Rancho Cucamonga, CA
- $118,601.60 - $157,144.00 a year
- Full-time
- Hybrid work
- Microsoft Excel
- 6 years
- HIPAA
- Paid holidays
- Disability insurance
Market Physician Executive (MPE) - Float
Monogram Health Professional Services —Georgia
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Market Physician Executive (MPE)
Monogram Health Professional Services —Atlanta, GA
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply

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Director of Compliance

PROVIDER RESOURCES INC -
Remote

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Job Details

Full-time
$165,000 - $190,000 a year

Qualifications

Compliance risk assessment
Risk management compliance audits
Team leadership
CMS
Team development
CMS regulatory compliance
Medicare regulations
NCQA standards
Regulatory readiness in healthcare
Healthcare quality audits
Overseeing audit functions
Senior level
Leadership
10 years

Full Job Description

About the company

Provider Resources Inc. (PRI) is looking for an experienced Director of Compliance to own our enterprise compliance program. This is a leadership role for a compliance professional ready to build the infrastructure, lead the audits, and develop the team that allows PRI to scale responsibly under CMS and URAC regulation.

What you will do

Own PRI's compliance program across IDRE, IRO, and CMSgoverned programs
Lead regulatory and URAC audit relationships as primary compliance owner
Build and maintain the compliance risk register and compliance calendar
Develop and lead the compliance team
Serve as the internal expert on No Surprises Act and CMS IDR regulations

What we are looking for

10+ years compliance experience including 3+ years in a leadership role
CMS and No Surprises Act / IDR regulatory knowledge preferred
URAC or NCQA audit experience
Track record of building compliance infrastructure, not just maintaining it
Healthcare or regulated services industry required

Why PRI

Meaningful work — PRI processes payment disputes that directly protect patients from unexpected medical bills under the No Surprises Act
Growth stage — we are building the systems, processes, and team that will define PRI for the next decade
Skills framework — every role at PRI has a defined skills ontology with clear growth paths and Udemy development pathways
Lean and direct — decisions get made, work is visible, and contributions matter

PRI is an equal opportunity employer. We evaluate candidates on demonstrated skills and capability.

About PROVIDER RESOURCES INC

Join Provider Resources (PRI) and Make an Impact in Healthcare! At PRI, we’re passionate about driving integrity and advancing quality across the healthcare system. As a trusted leader in the industry, we’re tackling some of healthcare’s biggest challenges—improving compliance, advancing health equity, and enhancing quality and clinical outcomes while helping organizations improve care delivery and create meaningful change. We believe that people are at the heart of healthcare, and focus on scalable, person-centered strategies that prioritize clinical excellence and evidence-based practices. Our work supports a broad network of stakeholders, including providers, patients, caregivers, payers, and regulators. We strive to enhance experiences, improve outcomes, and foster a healthier future for all. If you’re looking to be part of a forward-thinking team that makes a difference, PRI is the place for you!

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Refine Your Search

ncqa jobs

Director of Compliance

Manager of Compliance Audit

Credentialing Specialist

Healthcare Quality Management Specialist (Remote)

Population Health Analyst

Customer Care Representative - WFH Connecticut

Physician

Market Physician Executive (MPE)

Market Physician Executive (MPE) - Float

Market Physician Executive (MPE)

Lead Physical Therapist (req 101058)

Travel- RN PCU/Stepdown

Market Physician Executive (MPE) - Atlanta, GA

Physician

RN/LPN Nurses

Registered Nurse (RN)

Market Physician Executive (MPE) - Float

Engineer III - EDI

Market Physician Executive (MPE) - Float

Market Physician Executive (MPE)

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