- Operating Rules
- CORE Certification
- Value-Based Payments
- Industry Topics and Comment Letters
- Education and Implementation Resource Center
- HHS HIPAA Compliance
- Join CORE
- Provider Data Management
- CAQH ProView
- Provider Directory - DirectAssure
- COB Smart
- Provider Data Management
- CAQH Index
- Provider Data Collaboration
Who we are
CAQH is a non-profit alliance of health plans and trade associations developing and leading initiatives that positively impact the business of healthcare.
Your career with CAQH
The success of CAQH is driven by our most important asset - the CAQH Team, which includes innovative and passionate individuals who seek the opportunity to make a real difference in the healthcare system. We hire accomplished, results-oriented professionals who have the creativity, talent, and applicable experience to contribute to the achievement of our mission.
The CAQH Team enjoys a fast-paced environment, regular collaboration, and interesting work that is substantively relevant to the rapidly changing Industry.
CAQH has been recognized by Modern Healthcare as one of the "Best Places to Work in Healthcare" for three consecutive years. Each year the program identifies outstanding employers in healthcare based on extensive feedback provided by employees in a satisfaction and engagement survey.
CAQH provides competitive compensation and supports work / life balance through generous benefits, including medical, dental, vision, tuition assistance, and a retirement program. Our location in downtown Washington, DC is metro-accessible, has an on-site fitness center and is well located to enable the Team to take advantage of local business, cultural, dining and social opportunities.
View our open positions and consider how joining CAQH can be the right career choice for you. Click here to register and apply for an open position. Qualified candidates identified during the selection process will be contacted with futher details.
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The Account Manager is responsible for developing and managing relationships with assigned CAQH accounts. The position requires a demonstrated ability to develop and manage complex relationships, identify customer needs, develop and execute plans and effectively identify and communicate value propositions to multiple decision makers.
The Business Analyst (BA) assists with defining, analyzing and documenting business requirements for one or more CAQH solutions. The BA will work directly with the business analyst manager, other business analysts, product managers and software developers to identify business rules, use cases and expected behavior for new product functionality, and form those rules into user stories and other technical documentation.
Supports the day-to-day activities of the Committee on Operating Rules for Information Exchange (CORE), an initiative of CAQH. Serves a critical role in assisting the healthcare industry with the development and implementation of healthcare operating rules.
The CORE Manager manages the day-to-day activities of CAQH CORE operating rule development, research, maintenance and implementation. This includes facilitating industry work groups which include individuals from participating CAQH CORE organizations representing all stakeholder communities – health plans, providers, clearinghouses and software vendors.
Data is CAQH’s most critical asset and you will change how we think about and manage it. The Data Architect is the designer and architect of CAQH’s data analytics solutions working across product teams and solutions, responsible for the creation and the enhancement of innovative data solutions that transform the healthcare system.
CAQH is seeking a hands-on leader for our Health Data Science team. The Data Science Lead will take the prime role in analyzing, driving and delivering results based on large health care databases – from CAQH, from member plans and from third parties. The successful candidate will have experience in health plan performance and quality measurement and/or comparative effectiveness analysis.
The Manager, Client Implementations – CAQH ProView is responsible for maximizing organizational growth and revenue by leading the coordination of all client implementations for CAQH Solutions. The client implementation process begins when deals are sold and ends when the client is live on the solution and fully satisfied, at which time the client is officially transitioned to account management.
Working in concert with the Managing Director, Marketing and Communications, the Communications Manager has responsibility for planning and developing media relations strategies, writing media materials and conducting media outreach to promote CAQH and its programs.
The Manager, Conferences is a contributing member of the Marketing and Communications team, and works closely with the Sales and Product Management teams. The Manager directs and coordinates all aspects of CAQH participation in external industry conferences, including management of a cross-department Conference Committee, presentation proposal process, and exhibit activities.
This position is responsible for maximizing product revenue growth by driving new sales for CAQH ProView, SanctionsTrack, COB, VeriFide, EnrollHub and DirectAssure solutions. The individual must be able to identify prospects, conduct outreach, consultatively present each CAQH Solution to close and contract for new business.
The Scrum Master/Project Manager is responsible for the day-to-day execution of projects via a blend of agile and traditional project management methodologies. Through agile planning, rigorous execution and continuous oversight, the CAQH Scrum Master/Project Manager will ensure that development efforts are properly coordinated, and that releases are timely, impactful and of high quality.
The Sr Associate, Provider Engagement is responsible for securing the participation of large healthcare provider groups – including hospitals, health systems and independent physician associations – in a healthcare IT solution that automates the process of collecting and sharing provider data with their contracted health plans.
Manages the Explorations area at CAQH. Explorations is responsible for managing the coordinated CAQH data-driven research agenda consisting of both internally identified and externally-focused research projects. The Exploration research portfolio is comprised of both ongoing established projects, and new research opportunities that require the Senior Manager to define, launch and steer as a result of industry and CAQH needs. Projects are expected to promote the CAQH reputation as a thought-leader and trend setter in the area of the business of healthcare simplification.
The Sr. Product Analyst is responsible for working with Product Management to bridge the R&D efforts of our data science team to the market needs of health plan and healthcare provider stakeholders using the CAQH ProView platform. This will involve defining, analyzing, and documenting business requirements for specific provider data use cases emerging within health plans.
The Senior Product Analyst is responsible for analyzing, improving and promoting the design, functionality and usability of the COB Smart solution. You will use subject matter expertise of health plan operations that supports leadership of participating organizations in identifying solution enhancements that contribute to industry relevance and global solution ROI. You will work closely with Product Managers in support of a defined product strategy, helping to analyze market requirements, influence potential business partners, and impact a variety of other areas needed to build a business case for new features and solution enhancements.
The Senior Technology Manager is the development interface between internal product managers and external solution providers, responsible for the creation and the enhancement of innovative solutions that transform the healthcare system.
The Senior UX/UI Designer is responsible for conceiving and conducting user research, interviews and surveys, and translating them into wireframes and prototypes. You will also design the overall functionality of the product and continuously improve the design to optimize the user experience and achieve business goals.
The Senior QA Engineer is responsible for executing on and continuously improving the product quality vision for CAQH Solutions that incorporates QA standards and measures, testing approaches and automation strategies internally and with our development partners.
CAQH is an equal opportunity employer. (Minorities/Females/Disabled/Veterans). We recruit, employ, train, compensate, and promote without regard to race, national origin or ancestry, color, religion, creed, sex, age, marital status, presence of children, pregnancy, sexual orientation, genetic status, gender identity, mental or physical handicap, status as a covered veteran, status as a qualified disabled individual, except where sex is a bona fide occupational requirement, or where disability status is a bona fide occupational disqualification or any other legally protected status.
Applicants have rights under Federal Laws under the Family Medical Leave Act (FMLA), Equal Employment Opportunity (EEO), Equal Employment Opportunity Supplement, and the Employee Polygraph Protection Act (EPPA).
If you are interested in applying for employment with CAQH and need special assistance or an accommodation to apply for a posted position, contact our Human Resources department at 202-517-0400.