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
- ...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...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$78.7k - $134.9k
Clinical Regulatory Oversight, Business Analyst III Job Category: Health Services... ...care, where coordinated, quality service is the norm and... ...Management (CM) by assisting with audit readiness, NCQA deliverables... ...further information, please review the Know Your Rights notice...QualityRegulatoryFull timeWork experience placementWork at office3 days per week$15.85 - $25.5 per hour
...Lead Clinical Pharmacy Technician The Clinical Pharmacy Technician... ...Comprehensive Medication Reviews (CMRs) and Targeted Medication... ...maintaining compliance with regulatory requirements. Conduct patient... ...team. Actively contribute to quality improvement initiatives and...QualityRegulatoryHourly payImmediate startRemote workWeekend workAfternoon shift- ...Quality Review & Audit Senior Advisor The Quality Review & Senior Audit Advisor... ...leadership with a strong focus on clinical accuracy, pharmacy benefit integrity, and regulatory compliance. This role applies... ...and operational workflows. Lead and co-lead end-to-end...QualityRegulatoryWork at office
$102k - $162k
...Senior Clinical Research Associate The Senior Clinical Research Associate... ...adherence to ISO/FDA regulatory requirements, Good Clinical Practice... ...optimize efficiency and data quality throughout the clinical... ...research lifecycle, performing data review and verification activities...QualityRegulatoryFull timeWork at officeRemote workWork visa3 days per week$80k - $100k
...innovative, high-quality healthcare solutions... ..., safety, and regulatory compliance, serving... ...across a variety of clinical settings. Why join... ...Opportunities to lead process improvement... ...processes. Prepare and review journal entries,... ...with external audits and preparation of...QualityRegulatoryLocal area$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$100.3k - $172k
...connected care, where coordinated, quality service is the norm and... ...feels valued. The Clinical Regulatory Oversight Program Manager is... ...regulatory implementations, audits, NCQA deliverables, and continuous... ...requirements. Review and validate vendor policies...QualityRegulatoryWork experience placementWork at office3 days per week- ...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
$90k - $110k
...Regional Clinical Support Nurse Schedule: Full-time | 80... ...communities to ensure high-quality resident care and regulatory compliance. This role requires... ...of residents. Lead and Develop Teams ~... ...further information, please review the Know Your Rights notice...QualityRegulatoryFull timeInterim roleWork at officeMonday to Friday$80k - $105k
...Health Center Lead II, RN The Health Center Lead... ...the delivery of high-quality, patient-centered... ...-function role blends clinical insight with operational... ...scheduling, inventory, and regulatory compliance.... ...issues. Lead quality reviews and maintain alignment...QualityRegulatoryHourly payLive in$105.4k - $124k
...Job Description Credit Risk Review Officers independently evaluate... ...analysis of portfolio credit quality and portfolio reporting,... ...), Business Lines, Corporate Audit Services and have exposure to... ...regulations, financial services, and regulatory trends that impact their...QualityRegulatoryTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week$80k - $105k
...Marathon Health is a leading advanced primary care... ...the delivery of high-quality, patient-centered primary... ...-function role blends clinical insight with operational... ..., inventory, and regulatory compliance. Coordinate... ...issues. Lead quality reviews and maintain alignment...QualityRegulatoryHourly payLive in$153k - $191k
...Financial Controls Manager leads management's risk-based... ...design, execution, and quality of business process... ..., ensuring consistent, audit-ready testing methodologies... ...-based and management review controls, ensuring... ...incorporating auditor feedback, regulatory guidance, and emerging...QualityRegulatoryFull timeInterim roleWork at officeFlexible hours$78.7k - $134.9k
...care, where coordinated, quality service is the norm... ...III is responsible for leading and operationalizing... ...Health, Quality, Segments, Clinical, Network, Product,... ...recognizing distinct regulatory, operational, and community... ...information, please review the Know Your Rights...QualityRegulatoryWork experience placementWork at office3 days per week$90k - $120k
...Description Director of Clinical Services & Quality Assurance... ...This is a build-and-lead role: you will design... ...establish the FBA/PSTP review cycle, build the clinical... ...spine, and own the QA audit and corrective-action... ...measurable outcomes, and regulatory compliance Partner...QualityRegulatoryWork at officeRemote workMonday to Friday- ...As 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...QualityRegulatoryExtra income
$90k - $120k
...Director of Clinical Services & Quality Assurance BrightPath, LLC... ...This is a build-and-lead role: you will design... ...establish the FBA/PSTP review cycle, build the clinical... ..., and own the QA audit and corrective-action... ...measurable outcomes, and regulatory compliance Partner...QualityRegulatoryFull timeWork at officeRemote workMonday to Friday- ...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
$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- ...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
$85k - $142k
...PURPOSE AND SCOPE: The Clinical Quality Manager is responsible for... ...standards of patient care and regulatory compliance. This role... ...AND RESPONSIBILITIES: * Lead or participate in the clinic... ...delivery. * Conduct regular audits and quality reviews to ensure compliance with...QualityRegulatoryWork experience placementRemote workWork from home$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$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- ...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...QualityRegulatoryWork from homeFlexible hours
- ...Vice President Of Global Clinical Data Services... ...and clinical research, regulatory affairs, and market access... ...this position, you will lead the development and... ...implementation, and adherence to quality standards to ensure... ...a regular cadence for reviewing product performance,...QualityRegulatoryLocal area
- 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
$86.4k - $129.6k
...Day in the Life The Clinical Research Monitor... ...ensuring compliance with regulatory standards, IRB/EC... ...issues and may lead monitoring... ...clinical studies. Reviews medical records with... .../study teams with audit preparation. Authors... ...with Regulatory and Quality Assurance audits....QualityRegulatoryTemporary workH1bRemote workFlexible hoursShift work
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