Clinical Quality Review Lead for Regulatory Audits
$78.7k - $134.9kMedica
A nonprofit health plan is looking for a Supervisor of Quality Reviewers to oversee clinical reviews and regulatory audit operations. The ideal candidate will have a Bachelor's degree, significant clinical healthcare experience, and leadership skills. This role includes direct supervision of the quality review team and requires expertise in regulatory compliance. The position offers a full salary range of $78,700 – $134,900, subject to experience and qualifications, and includes a comprehensive benefits package. #J-18808-Ljbffr Medica
- A nonprofit health plan is seeking a Supervisor for Quality Reviewers to lead clinical review operations and support regulatory audits in Minnesota. The role involves coaching Clinical Quality Review RNs, ensuring compliance with documentation standards, and adapting workflows...QualityRegulatory
$78.7k - $134.9k
...connected care, where coordinated, quality service is the norm and every... .... The Supervisor, Quality Reviewers is responsible for leading day-to-day clinical review and medical record operations... ...complex, time-sensitive regulatory audits and quality initiatives. This role...QualityRegulatoryWork experience placementWork at officeRemote work3 days per week$100k - $166.6k
...divh2Quality Review Audit Senior Advisor/h2pThe Quality Review Senior Audit Advisor provides enterprise... ...with a strong focus on clinical accuracy, pharmacy benefit integrity, and regulatory compliance. This role... ...Testing/h3ulliLead and co-lead end-to-end clinical and pharmacy...QualityRegulatoryWork at officeLocal areaWork from home$34.23 - $61.15 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR... ...Clinic Guidelines in the auditing of inpatient claims.... ...DRG and APR-DRG coding reviews to verify the accuracy... ...with a high emphasis on quality Provide clinical... ...industry terminology, and regulatory guidelines Soft...QualityRegulatoryHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRemote workRelocation package$90k - $110k
...day easier As a Regional Clinical Support Nurse, you will... ...communities to ensure high-quality resident care and regulatory compliance. This role requires... ...-being of residents. Lead and Develop Teams ~... ...information, please review the Know Your Rights notice...QualityRegulatoryFull timeInterim roleWork at officeMonday to Friday$292.3k
...removing barriers to quality care. The work you do... ...Specialty, and will shape clinical strategy for one of... ...systems, government/state regulatory entities, professional... ...clinical leaders to lead the clinical aspects... ...client specifications Reviews clinical marketing materials...QualityRegulatoryMinimum wageWork experience placementWork at officeLocal areaRemote work$70.2k - $120.4k
...care, where coordinated, quality service is the norm... ...valued. The Utilization Review III position is... ...grievances requiring clinical expertise. This role ensures... ...compliance with regulatory requirements, accreditation... .... Participate in audits, regulatory reporting,...QualityRegulatoryWork experience placementWork at officeRemote work- ...Quality Control Lead Since 1955, we have been on a mission To Passionately... ...maintaining compliance with all regulatory requirements. Food Safety... ...finished goods daily and audit documentation. Conduct... ...further information, please review the Know Your Rights notice...QualityRegulatory
$70.2k - $120.4k
...Supervisor partners with our Clinical Care Manager to deliver and... ...coordination duties and oversight of regulatory and quality compliance requirements.... ...to leverage technology to lead remote teams High degree of... ...further information, please review the Know Your Rights notice...QualityRegulatoryWork experience placementWork at officeRemote workHome office3 days per week$112.7k - $193.2k
...benefits, such as increased quality, cost savings, revenue growth... ...alignment Change Management: Leading and managing change initiatives... ...there can be potential harm Regulatory requirements: Ability to... ...ensure correct stakeholders review AI solution Artificial Intelligence...QualityRegulatoryMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...Applied Behavior Analysis (ABA) programs, providing clinical supervision to behavior technicians and ensuring high-quality behavioral services for clients. Responsible... ...Ensure compliance with ethical guidelines and regulatory requirements Participate in treatment team...QualityRegulatory
- ...Senior Clinical Research Associate We believe that great healthcare... ...evidence generation to meet regulatory and commercialization needs.... ...by contributing to design reviews, risk management, and clinical... ...well-being and to ensure high quality data. About the Role: Responsible...QualityRegulatoryLocal area
$153k - $191k
Job Category: Internal Audit Requisition Number: SRGRP002217 Location... .... Oversee the execution and quality of control testing, ensuring... ...‑based and management review controls, ensuring appropriate... ...incorporating auditor feedback, regulatory guidance, and emerging...QualityRegulatoryFull timeInterim role$78.7k - $134.9k
...care, where coordinated, quality service is the norm... ...work within Medica's Clinical Services Optimization... ...analyst operationalizes regulatory and/or business requirements... ...business readiness by leading success strategies... ...information, please review the Know Your Rights notice...QualityRegulatoryWork experience placementWork at office3 days per week$139.23k - $163.8k
...align with business strategy, regulatory requirements, and enterprise... ...incorporate metadata, lineage, data quality, and access controls into... ...Experience leading modernization initiatives, including... ...otherwise provided by law Review our full benefits available by...QualityRegulatoryTemporary workLocal area3 days per week- ...Physician Reviewer/Advisor For Independent Medical Exams (... ...(IME), you will utilize clinical expertise and reviews insurance... ...and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits Board certification required...QualityRegulatory
- ...the direction of Clinical Affairs leadership... ...Project Manager (CPM) leads a clinical... ...collaboration to deliver high-quality clinical evidence... ..., ICH-GCP, and regulatory requirements. The... .... Develop and review centralized operational... ...participation in audit responses as...QualityRegulatoryTemporary workFlexible hours
$110k - $165k
Overview Boulay is currently looking for an Audit Manager (Quality Review) who will be responsible for managing technical accounting and auditing research to ensure audits and assurance engagements are performed in accordance with GAAS, PCAOB, GAAP, and other relevant standards...QualityRemote workWork from homeFlexible hours- ...We are committed to quality care, regulatory excellence, and helping... ...The Director of Clinical Services and Quality... ...ability to develop and lead staff training in those... ...plans, and clinical risk reviews across all programs... ...maintain QA systems, audits, scorecards, and...QualityRegulatory
- ...-Certified Radiologist for Record Reviews- Minneapolis, MNBoard-Certified Radiologist... ...Exams (IME), you will utilize clinical expertise and reviews insurance... ...identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances...QualityRegulatoryExtra incomeContract workPart timeRemote work
- ...Analyst position supports audit and compliance... ...preparing for and supporting regulatory audits, ensuring... ...readiness and operational reviews ACCOUNTABILITIES:... ...process integrity and quality control for department... ...including hospitals and clinics in Minnesota and...QualityRegulatoryWork experience placementWork at officeLocal area
$150k - $183k
...Quality & Regulatory Director Nuwellis, Inc. is a medical device company... ...Quality & Regulatory Director to lead Nuwellis Quality &... ..., and internal and external audits to assure compliance to Quality... ...marketed products, including review of engineering changes, process...QualityRegulatoryFull timeContract workTemporary workWork at officeWorldwide- E.A. Sween Company in Eden Prairie, Minnesota is seeking a Quality Control Lead to oversee and manage quality control aspects of food products. This role is crucial for ensuring product safety and regulatory compliance. The ideal candidate will have a high school diploma...QualityRegulatory
- ...~ Wellness resources Lead Clinical Pharmacy Technician The Clinical... ...Comprehensive Medication Reviews (CMRs) and Targeted... ...maintaining compliance with regulatory requirements. Conduct patient... .... Actively contribute to quality improvement initiatives and...QualityRegulatoryImmediate startRemote workFlexible hoursWeekend workAfternoon shift
- ...seeking a casual Pediatric Clinical Pharmacist to join our inpatient... ..., education , and quality improvement in a fast-paced... ...interdisciplinary care team Review and verify medication orders... ...storage inspections and ensure regulatory compliance Education...QualityRegulatoryContract workCasual workRelocation package
- ...Neurotech LLC in Plymouth, MN, is seeking a Quality Affairs Lead to develop a scalable Quality Management System critical for the regulatory success of its Class III neurostimulation... ...initiatives with Engineering and Clinical teams. This role demands over 10 years of...QualityRegulatory
- ...RESPONSIBILITIES: The Utilization Review (UR) Registered Nurse is... ...departments to ensure quality care while optimizing resource... ...Collaboration: Coordinates with clinical teams, payers, and discharge... ...maintaining a safe, efficient, and regulatory-compliant work environment;...QualityRegulatoryShift workWeekend workAfternoon shift
$57k - $113k
...portfolio strategies align with regulatory expectations, company risk... ...to identify emerging credit quality trends, deterioration risks,... ...strategies. Support the development, review, and maintenance of credit... ...analysis meet regulatory, audit, and internal risk management...QualityRegulatoryFull timeWork at officeRemote workWork from homeFlexible hours$94k - $189k
...Description Job Description Our Regulatory Reporting Accounting Senior... ...be to prepare, complete, review and submit required... ...with Risk Management, Internal Audit and Legal. * Special projects... ...tasks and meet deadlines with quality. * Proven ability to quickly...QualityRegulatoryWork at officeRemote workWork from homeFlexible hours$92k - $138k
...Senior Regulatory Affairs Specialist - Global Markets... ...for all. You'll lead with purpose, breaking... ...compliance, participate in audits, and provide support... ...agencies at the reviewer level; support manufacturing... ..., engineering, clinical, or quality roles. ~ Advanced degree...QualityRegulatoryH1bWork at officeLocal areaWorldwideFlexible hours
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