Managed Care Consulting jobs and careers

About Managed Care Consulting

💡NCQA Consulting 💡 We assist health plans and other organizations seeking NCQA accreditation to maximize their chance for success. We provide an evaluation of your accreditation needs and a detailed plan for action. We recognize that each client is unique and collaborate to create a tailored plan that suits their needs. Services include: ✔️ Assessment of compliance against NCQA standards, including comprehensive readiness assessment and gap analysis ✔️ Review of programs and processes for meeting standards ✔️ Policy & Procedure development ✔️ Mock surveys and file review ✔️ Facilitate the comprehension of delegation oversight requirements ✔️ Identify areas of opportunity for health plan to streamline NCQA processes and project management ✔️ Training on standard interpretation including auto-credit and scoring ✔️ Develop contract amendments to ensure compliance We can even assemble your NCQA submission: ✔️ Document preparation - file merging & bookmarking ✔️ Uploading documents to online review tool (NCQA's IRT) ✔️ We can be with you every step of the way from completing the NCQA application to the on-site (virtual) survey! 💡Other Services 💡 ✔️Act as an SME (Subject Matter Expert) in the context of health care data and Artificial Intelligence (AI), providing clinical and data expertise ✔️ Performance measurement development ✔️ Program development and evaluation ✔️ Medical content writing, editing and proofreading ✔️ Training on quality improvement in the health care setting ✔️ Meeting state and federal regulations ✔️ Development, implementation and testing of medical management software - and more!