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 ([email protected]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.

SKILLS:

  • Ability to manage the NCQA health plan accreditation process for clients, including strategizing and prioritizing activities needed to complete the process for different health plan lines of business.
  • Experience with other NCQA products, such as health equity, population health programs, and long term services and supports distinction a plus.
  • Current NCQA surveyor preferred, but non-surveyors accepted.
  • Possess strong analytical and critical thinking skills with great attention to detail - mandatory
  • Ability to conduct detailed evaluation of client documentation against NCQA standards.
  • MUST have at least three years of recent (2019-2022) hands-on experience with taking health plans through the NCQA health plan accreditation process. Hands-on means that you were directly involved in evaluation of documents against the standards, assisted business owners in meeting requirements, and prepared documents for submission (highlighting, bookmarking and pdf development). Hands can also mean review of appeal files and/or credentialing and recredentialing files against the NCQA standards. PLEASE do not apply if this basic and critical requirement is not met.
  • Ability to provide direction to clients at different levels in their organization (line staff/managers/directors/VPs) on readiness for surveys, gap mitigation and creative methods to remove organizational barriers
  • Develop documentation to meet standards' requirements, if requested by 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 work group meetings
  • Possess experience and the ability 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 ability to work with multiple clients on assignments with competing needs and timelines on both sides
  • Possess ability to identify issues early and proactively
  • Demonstrated ability to communicate in a clear, concise, directive, and efficient manner via emails, readiness assessments, and verbally
  • Ability and desire to work in a team environment
  • Commitment to work 20 - 30 billable hours a week

Must have at least a moderate proficiency with Microsoft Office (Word, Excel, PowerPoint), be able to use Adobe for bookmarking, ease with web-based technologies, and have 1 - 2 computers, a telephone line (usually your cell phone) and a secluded workspace for confidential discussions and protection of confidential and proprietary information.

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

Apply Today