North Carolina Licensed Clinical Analyst

A company is looking for a Clinical Quality Management Analyst. Key Responsibilities Evaluate and monitor staff or provider performance to ensure quality excellence Perform quality audits of member medical records to ensure compliance with HEDIS specifications Support clinical quality leadership in planning activities and managing program objectives Required Qualifications RN with 3 years of clinical experience or LPN with 5 years of clinical experience required Previous work experience in HEDIS, Medical Review, or quality programs is necessary Bachelor's degree or advanced degree preferred Knowledge of clinical quality improvement operations, including HEDIS, is strongly preferred Experience in conducting patient chart reviews to obtain clinical measures is preferred

Mar 5, 2025 - 18:48

A company is looking for a Clinical Quality Management Analyst. Key Responsibilities Evaluate and monitor staff or provider performance to ensure quality excellence Perform quality audits of member medical records to ensure compliance with HEDIS specifications Support clinical quality leadership in planning activities and managing program objectives Required Qualifications RN with 3 years of clinical experience or LPN with 5 years of clinical experience required Previous work experience in HEDIS, Medical Review, or quality programs is necessary Bachelor's degree or advanced degree preferred Knowledge of clinical quality improvement operations, including HEDIS, is strongly preferred Experience in conducting patient chart reviews to obtain clinical measures is preferred