Take a stand
For your career. And for health. When you join Kaiser Permanente, you not only build a rewarding career—you impact the future of health care. The nation’s leading nonprofit integrated health plan, Kaiser Permanente is supported by the professionals who build our systems, strengthen our facilities, and shape our future. Join us and take a stand for your future in Rockville, Maryland.
Quality Appeals Analyst
If your answer to the below questions is “YES”, this position is for you!
In this role, you will be accountable for ensuring compliance with standards set forth by the National Committee for Quality Assurance (NCQA), Center for Medicare and Medicare Services (CMS), Maryland Health Choice Program, State of Virginia Medicaid, and other State and Federal regulations and laws as it relates to appeals, complaints, grievances, and regulatory inquiries provider requirements such as assessment of geo-access and network adequacy; provider compliance newsletter; updating and distribution of provider manuals; monitoring of provider appointment access; compliance requirements for physician and hospital directories.
For immediate consideration, please visit http://jobs.kp.org for complete qualifications and job submission details, referencing job number 591832.
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
This position supports Kaiser Permanente’s code of conduct and compliance by adhering to all laws and regulations, accreditation and licensure requirements, and internal policies and procedures.
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