We Can Help You be a Successful Consultant

About Consulting with MHR

MHR has an independent contractor model. Therefore, if you are hesitant at all about leaving your employee benefits behind for a greater reward and flexibility in consulting, please do not apply for these positions.

MHR has an extensive interview process that involves three interviews, scoring well on one or two accreditation exercises, taking a DISC profile, and passing a background check. MHR only wants those who are very attentive to detail, have a teachable spirit, and who tend to be perfectionists.

Once accepted, we have a rigorous orientation and monitoring process to assure that our clients receive the very detailed evaluation against NCQA standards. This is unlike most consulting firms who put new consultants in situations where they learn as they go while racking up billable hours. MHR’s reputation and brand for high quality and detailed work is carefully protected. Therefore, substantial administrative cost is invested in assuring that work is as error-free as possible. Not everyone is qualified or adept at this type of work and that is why both our screening and our onboarding process are well-developed and extensive.

If you have read this far and it resonates with you instead of scaring you, please read about our positions below.

MHR Open Positions

Managed Healthcare Resources is adding to their team.

We are looking to add seasoned NCQA accreditation clinicians to our team to work as an independent contractor working part time to full time to provide services to clients across the US.

Interested in any of our open positions? Please contact Susan Moore, CEO to schedule an informal interview.

Contact Susan

NCQA Consultant - Clinician

Searching for a seasoned NCQA accreditation clinician to join our consulting company as an independent contractor working part-time to full-time to provide services to clients across the US. Although the firm is located in Michigan, the consultant works from their home office with minimal travel at this time. Hours are flexible as long as client needs are met. There is no need to learn how to run a business, as the firm manages client acquisition, invoicing, and client management. Formal onboarding and orientation provided, along with collegial and mentoring support from the consulting team.

SKILLS:

RN preferred, LPN accepted with direct work with utilization management or case management reviews/auditing/standards review.
Current NCQA surveyor preferred, but non-surveyors accepted.
MUST have at least three years of current hands-on experience with taking health plans through the NCQA health plan accreditation process. Hands-on means that you were directlyinvolved in the evaluation of documents against the standards, assisted business owners in meeting requirements, and preparing documents for submission (highlighting, bookmarking, and pdf development). Hands-on also means review of denial files and/or case management files against the standards. PLEASE do not apply if this basic and critical requirement is not met.
Recent (2019-2022) NCQA health plan accreditation experience
Ability to conduct a detailed evaluation of client documentation against NCQA standards.
Possess strong analytical and critical thinking skills with great attention to detail - mandatory
Ability to provide direction to clients at different levels (line staff/managers/directors/VPs) on gap mitigation and removal of organizational barriers
Develop documentation to meet standards' requirements, if requested by the client
Ability to conduct business in a manner that meets clients where they are in a non-judgmental fashion and mentor, coach, and guide them to meet standards in a meaningful way.
Demonstrated experience in conducting workgroup meetings
Possess demonstrated abilities to educate, train and mentor individuals
Be self-motivated and able to work independently
Ability to meet client's and firm's timeliness requirements
Possess organization skills
Have the ability to work with multiple clients on assignments with competing needs and timelines
Possess the ability to identify issues early and proactively
Demonstrated ability to communicate in a clear, concise, efficient, and directive manner
Ability and desire to work in a team environment
Commitment to work 20 - 30 billable hours a week

Must be at least medium proficiency on Microsoft Office, be able to use Adobe for bookmarking, and web-based technologies, and have 1 - 2 computers, a telephone line (usually your cell phone), and a secluded workspace for confidential discussions and information.

Bachelor’s degree accepted. A master's degree in health services, public policy, or business is also useful, but not required.

To Apply:

Please contact Susan Moore, CEO via email (SusanMoore@ManagedHealthcareResources.com) to schedule an informal interview. Please make sure to include a copy of your Resume or Curriculum Vitae.

Apply Today

NCQA Consultant - Consultant

Searching for a seasoned NCQA accreditation professional to join our consulting company as an independent contractor working part-time to full-time to provide services to clients across the US. Although the firm is in Michigan, the consultant works from their home office currently with minimal travel. Hours are flexible as long as client needs are met. There is no need to learn how to run a business, as the firm manages client acquisition, invoicing and client management. Formal onboarding and orientation provided, along with collegial and mentoring support of the consulting team.