Company Profile
Company Overview
CAQH is a nonprofit alliance of health plans and trade associations committed to the development and implementation of actionable solutions to advance the business of healthcare. We are a recognized leader in helping to transform, modernize and streamline the nation’s healthcare system. Working collaboratively with payers, individual providers, hospitals, facilities, vendors and government entities, we have a proven track record of innovation including:
•The Universal Provider Datasource®, the industry standard for provider data collection and now used by more than one million providers to share information with nearly 800 health plans, hospitals and other related organizations nationwide;
•SanctionsTrack which eliminates the redundant processes employed by health plans, hospitals, and other managed care organizations to collect debarments and other disciplinary action information from over 500 state licensing boards, Office of Inspector General, and other reporting entities on all healthcare providers across the United States;
•EnrollHubTM, an online tool to help providers enroll to receive electronic payments and remittance advices from multiple payers;
•COB SmartTM, a registry of coverage information that helps insurers and providers correctly identify which members have benefits that should be coordinated in order for corresponding claims to be processed correctly the first time;
•The Committee on Operating Rules for Information Exchange, or CORE, an unprecedented collaboration of more than 140 industry stakeholders working together to advance system interoperability, improve data consistency, reduce paperwork and support information transparency for consumers; and,
•US Healthcare Efficiency Index, a national reference to track and measure the adoption of electronic medical transactions, including claims and payment.
CAQH initiatives help promote quality interactions between health plans, providers and other stakeholders; reduce costs and frustrations associated with healthcare administration; facilitate administrative healthcare information exchange; and encourage administrative and clinical data integration.
Benefits
CAQH recognizes that its most important asset is its growing team of smart, creative, collaborative, forward-thinking and passionate professionals – and that a comprehensive employee benefits package is an important factor for them in choosing where to work. CAQH offers competitive compensation along with an extensive benefits package for all full-time employees, including medical, dental and vision coverage, tuition assistance and a 401k. Our location in downtown Washington, DC is metro-accessible, has an onsite fitness center and is centrally located to allow our team to take advantage of professional networking opportunities, cultural offerings and a thriving social scene.