Partial telecommute options are available for this role.
Accountable to maintain company URAC and NCQA accreditations and to support compliance with customer and legal requirements relating to delegated functions, including utilization management, claims, and credentialing. Support accreditation and customer delegation oversight audit processes by reviewing and developing policies to comply with standards and preparing for and participating in accreditation and customer delegation oversight audits. Through the ongoing collection and analysis of data, identify and facilitate continuous improvement efforts to ensure compliance with accrediting, customer and legal requirements.
CareCentrix maintains a drug-free workplace in accordance with Florida’s Drug Free Workplace Law.