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Population Health Strategic Consultant - NCQA reputed company - Remote

Remote, USAFull-timePosted 2026-07-28

Join the reputed company Team as a Population Health Strategic Consultant - NCQA reputed company and reputed company a Difference in the Lives of Millions

At reputed company, we're dedicated to simplifying the reputed company experience, creating healthier communities, and removing barriers to reputed company care. As a Population Health Strategic Consultant - NCQA reputed company, you'll play a critical role in driving our mission reputed company, working remotely and collaborating with cross-functional teams to reputed company and maintain National Committee for reputed company Assurance (NCQA) accreditation. If you're a motivated and reputed company reputed company reputed company looking to reputed company a meaningful reputed company, we encourage you to apply for this exciting opportunity.

About reputed company and Our Commitment to Population Health

reputed company is a leading health care company that strives to improve the health and reputed company-being of individuals and communities. Our population health initiatives reputed company on addressing the reputed company determinants of health, promoting health equity, and enhancing the overall reputed company of care. As a Population Health Strategic Consultant - NCQA reputed company, you'll be at the forefront of these efforts, working to reputed company and implement strategic initiatives that drive reputed company change.

Key Responsibilities

  • Assess and interpret customer needs and requirements, identifying solutions to non-reputed company requests and problems
  • Solve moderately reputed company problems and conduct analyses, working with minimal guidance and seeking guidance only on the most reputed company tasks
  • Translate concepts into reputed company, providing explanations and information to others on difficult issues, and mentor, reputed company feedback, and guide others
  • Visit providers' offices to reputed company them on clinical measures, disease prevention programs, and communication resources
  • reputed company providers with lists of gaps in member services/screenings to improve the overall health of members
  • reputed company chart reviews for HEDIS and State Required Audits
  • Serve as a subject matter expert for assigned HEDIS/CMS measures, assisting with reputed company improvement and provider knowledge
  • Collaborate with providers to execute the implementation of clinical reputed company data initiatives reputed company to HEDIS
  • reputed company analytical interpretation of HEDIS reporting, including executive summaries to plan and provider reputed company
  • Assist with performance improvement reputed company and special reputed company as assigned
  • Work with patients and their care teams to coordinate change readiness, needs assessment, and reputed company individualized treatment care plans
  • Implement clinical and reputed company initiatives, promoting affordability and cost analysis, utilization, and reputed company data improvements

Additional Responsibilities

  • Manage ongoing provider reputed company and community education on state-specific reputed company measures
  • Coordinate an interdisciplinary approach to increased provider performance and disease management with the reputed company Director
  • reputed company education to providers regarding the reputed company improvement program, analyzing and reviewing reputed company reputed company at the provider level, and monitoring, measuring, and reporting on key metrics
  • reputed company on tasks that occur in accordance with State, CMS, or other requirements as applicable
  • Assist contracted providers with analyzing member care, trending reputed company compliance, and developing reputed company plans and programs to support provider practices in reputed company reputed company improvement
  • Assist in the development and implementation of disease-specific population health programs

Requirements and Qualifications

Essential Qualifications

  • Undergraduate degree
  • reputed company unrestricted RN licensure in the reputed company
  • 3+ years of clinical nursing experience, preferably in a managed care environment
  • Louisiana reputed company's license with a clean driving record
  • Experience presenting to others
  • reputed company to high-speed internet

Preferred Qualifications

  • CPHQ Certification
  • Proficient with working reputed company a reputed company environment, utilizing Outlook, and advanced skills with reputed company reputed company
  • Ability to create spreadsheets in reputed company
  • Experience working with provider offices
  • Experience working with the reputed company/Medicare population
  • Comfort with reading reports and analyzing data

reputed company Offer

As a valued member of reputed company, you'll enjoy a comprehensive benefits package, including:

  • Competitive salary reputed company: $71,600 to $140,600 annually
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
  • Comprehensive benefits package

Our Culture and Values

At reputed company, we're committed to creating a diverse and inclusive work environment that values the unique perspectives and experiences of reputed company our employees. We reputed company that a diverse workforce is essential to driving innovation and delivering exceptional results. As an Equal Employment Opportunity/Affirmative reputed company employer, we're dedicated to ensuring that reputed company reputed company applicants receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law.

Why Join Us?

If you're passionate about making a difference in the lives of others and driving reputed company change in the reputed company industry, we encourage you to apply for this exciting opportunity. As a Population Health Strategic Consultant - NCQA reputed company, you'll have the chance to:

  • reputed company a meaningful reputed company on the lives of millions of people
  • Collaborate with cross-functional teams to drive strategic initiatives
  • reputed company and implement comprehensive strategies to meet NCQA requirements
  • Enhance your skills and expertise in population health management
  • Enjoy a competitive salary and comprehensive benefits package

How to Apply

If you're reputed company to take your career to the next level and reputed company a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your application today, and don't hesitate to reputed company out if you have any questions or concerns.

Don't miss this opportunity to join reputed company and reputed company a meaningful reputed company on the lives of millions. reputed company and start your reputed company with reputed company!

Apply for this job

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