Hybrid RN Delegation & Quality Compliance Lead
Job in
Portland, Multnomah County, Oregon, 97204, USA
Listed on 2026-08-22
Listing for:
Moda Health
Full Time
position Listed on 2026-08-22
Job specializations:
-
Quality Assurance - QA/QC
Job Description & How to Apply Below
Moda Health in Portland offers a hybrid role focused on coordinating and performing oversight for delegated Utilization Management (UM) functions. You will audit delegates' structure, programs, and denial decisions, ensuring NCQA, State, and Federal compliance, and prepare for accreditation audits.
Quarterly Delegation Oversight Committee meetings are part of the duties. The position emphasizes pre- and annual delegation reviews, documentation, and collaboration with multiple departments to
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