Clinical Quality Management Analyst
Job Title: Clinical Quality Management Analyst Location: 100% remote but must reside in PA Duration: 10 Months (Possible extension per business needs) Job Description: This job works with appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines. Recommends and implements process improvements related to the potential of quality medical care and service to members and to improve documentation of these services for appropriate ICD 10-CM coding. • This is a medical review position. Will be mining medical records • Must be a Registered Nurse in PA • Must have 3-5 years of medical review experience • Must have HEDIS experience • Must have medical review experience • Must have Customer service experience • Must have attention to detail • Must be proficient in Excel • Must be tech savvy • Quality improvement experience preferred ET_RV01 Job Type: Contract Pay: $39.28 - $43.50 per hour Expected hours: 40 per week Benefits: • Work from home People with a criminal record are encouraged to apply Work Location: RemoteApply Now
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