Remote Utilization & Accreditation Specialist II

MedImpact

San Diego (CA)

Remote

USD 120,000 - 180,000

Full time

14 days+

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Job summary

MedImpact is seeking a qualified professional to drive accreditation readiness and clinical quality across Commercial, Medicare, Medicaid, and Marketplace programs. You will manage NCQA/URAC readiness, oversee delegations, and coordinate with clients and internal teams to ensure timely, accurate compliance deliverables.

The role requires NCQA/URAC expertise, a healthcare license, and 5+ years in PBM or managed care.

Qualifications

  • Requires NCQA and URAC readiness expertise.
  • Healthcare license is required.
  • Minimum 5+ years in PBM or managed care.

Skills

NCQA/URAC expertise
PBM or managed care experience

Education

Healthcare license

Job description

MedImpact is seeking a qualified professional to drive annual accreditation, clinical quality, and UR licensure readiness across Commercial, Medicare, Medicaid, and Marketplace programs. You will manage NCQA/URAC readiness, oversee delegations, and coordinate with clients and internal teams to ensure timely, accurate compliance deliverables.

The role requires NCQA/URAC expertise, a healthcare license, and 5+ years in PBM or managed care.

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