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Senior UM Compliance & Accreditation Lead (Hybrid
Job in
Detroit, Wayne County, Michigan, 48228, USA
Listed on 2026-08-02
Listing for:
PVH (Tommy Hilfiger/Calvin Klein)
Full Time
position Listed on 2026-08-02
Job specializations:
-
Quality Assurance - QA/QC
Regulatory Compliance Specialist
Job Description & How to Apply Below
Delta Dental of Michigan, Ohio, and Indiana seeks a Senior Utilization Management Compliance and Accreditation Specialist to oversee URAC/NCQA and state accreditation programs. You will maintain compliance, prepare reports, and coordinate audits with stakeholders across Government Programs and CR activities.
You will drive corrective actions, develop procedures, and ensure timely documentation to support accreditation readiness and quality improvement initiatives across the organization.
#J-18808-LjbffrPosition Requirements
10+ Years
work experience
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