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NCQA
The role conducts professional utilization reviews and management for individuals enrolled in the PHIP network, ensuring services are provided in the least restrictive and most appropriate settings. It involves evaluating service requests against clinical guidelines, coordinating care, and documenting decisions within an authorization system, all while supporting compliance and quality improvement initiatives.
NCQA improves health care quality through accreditation, HEDIS® measures, credentialing, and education—trusted by health plans and providers nationwide.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for NCQA.
23% below the average for this role
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