Ohio Licensed Clinical Quality Specialist

Location: Remote
Compensation: To Be Discussed
Reviewed: Fri, Mar 14, 2025
This job expires in: 30 days

Job Summary

A company is looking for a Quality Performance Specialist - Clinical.

Key Responsibilities
  • Lead and coordinate clinical quality review processes for member concerns and medical records
  • Assist with Quality Assessment and Performance Improvement Committee (QAPI) activities and documentation
  • Support annual medical record review activities including HEDIS and Clinical Practice Guidelines
Required Qualifications
  • Associate's Degree or equivalent work experience; Bachelor's Degree preferred
  • Minimum of 3 years in clinical or service quality improvement or relevant healthcare experience
  • An unrestricted Clinical license (RN) in the relevant state is required
  • Prior experience with project facilitation/management is preferred
  • Proficient in Microsoft Office applications including Word, PowerPoint, and Excel

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