Clinical Quality Management Analyst

Harrisburg, PA - USA

Monthly Salary: Not Disclosed

Posted on: 8 hours ago

Vacancies: 1 Vacancy

Job Summary

Title: Clinical Quality Management Analyst

Work Location: Remote in Pennsylvania

Duration: 10 months 9 day(s)

Rate: $40/Hr on W2

Salary Conversion (If applicable): $80K -$87K yearly with benefits

Employment Type: Contract to hire

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.

Qualifications

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

Title: Clinical Quality Management Analyst Work Location: Remote in Pennsylvania Duration: 10 months 9 day(s) Rate: $40/Hr on W2 Salary Conversion (If applicable): $80K -$87K yearly with benefits Employment Type: Contract to hire Job Description: This job works with appropriate departments in t...