Remote Clinical Quality & Compliance Analyst
Blue Cross & Blue Shield of NC
Blue Cross NC is seeking a Clinical Quality Management Analyst to evaluate, analyze, and monitor staff or provider performance, delivering feedback and action plans to improve quality. The role supports learning solutions and ensures alignment with regulatory requirements and corporate medical policy. The candidate will conduct quality audits, report performance results, and assist in data-driven decision making while collaborating with management and vendors in a remote/Hybrid Flex environment. #J-18808-Ljbffr
- ...Blue Cross NC is seeking a Clinical Quality Management Analyst to evaluate staff and provider performance and deliver actionable feedback with improvement... ...improvements, monitor performance, and report trends. Remote-flex role with occasional in-office visits, and strong...Remote workWork at officeFlexible hours
- Blue Cross NC is seeking a Clinical Quality Management Analyst to join the Clinical Quality Reporting & Compliance Team. You will evaluate staff and provider performance, conduct... ...vendors to drive quality improvements in a remote-flex environment. #J-18808-Ljbffr Blue...Remote jobFlexible hours
- Blue Cross NC is seeking a Clinical Quality Management Analyst to join the Clinical Quality Reporting & Compliance Team. You will evaluate staff/provider performance, provide... ...regulatory requirements. The position offers Remote Flex with occasional in-office visits and...Remote jobWork at officeFlexible hours
- ...Highmark Inc. in Louisiana is seeking a Quality Assurance and Compliance professional to lead data-driven process improvements, ensure accurate medical... ...with audits, CMS/NCQA standards, and provider education. Remote work not indicated; office-based position with potential...Remote workWork at office
- ...Blue Cross NC seeks a Clinical Quality Management Analyst to evaluate and monitor staff or provider performance, delivering actionable feedback and learning solutions to close identified gaps. You will support data-driven decisions and align clinical processes with regulatory...Remote work
- ...Integrity Operations: Facility Coding Quality professional to lead advanced... ...and Hospital coding realms. Remote-friendly role in a major US... ...quality data, and collaborate with clinical and education teams to improve documentation and compliance. #J-18808-Ljbffr Advocate...Remote job
- Highmark Health seeks a quality and compliance professional to collaborate with clinical and administrative teams. You will drive process improvements and oversee medical record reviews, HCC coding, and support STARS and accreditation initiatives. Responsibilities include...Work at office
- ...Blue Cross NC is seeking a Clinical Quality Management Analyst to join the Clinical Quality Reporting & Compliance Team. This role evaluates and monitors staff or provider performance to drive excellence in quality, offering feedback and action plans when deficiencies...Remote work
- ...Blue Cross NC is seeking a Clinical Quality Management Analyst to join the Clinical Quality Reporting & Compliance Team. This role evaluates and monitors staff and provider... ...trends, and support data-driven decisions. Remote-flex role with potential in-office visits;...Remote workWork at officeFlexible hours
- ...Blue Cross NC is seeking a Clinical Quality Management Analyst to join the Clinical Quality Reporting & Compliance Team. The role evaluates staff and provider performance, feeds... ...with vendors to improve outcomes. Remote-flex role with some in-office visits. #J-18...Remote workWork at officeFlexible hours
$73.7k - $117.92k
...Job Description We're hiring a Clinical Quality Management Analyst to join the Clinical Quality Reporting & Compliance Team! Evaluates, analyzes and monitors staff or provider... ...Where You'll Work This role is Remote Flex. In a Remote Flex role, you'll work virtually...Remote workWork experience placementWork at officeLocal areaFlexible hours- ...costs. By embedding high-quality research within local... ..., Hawthorne makes clinical trials more accessible... ...treatments to market, faster. Remote Sonographer – Clinical... ...Quality & Data Analyst – Temporary, Up to 40... ...Imaging Quality and Data Compliance Analyst role is an...Remote workTemporary workLocal area
- ...Vida is seeking a Quality Compliance and AI Operations Analyst to drive quality assurance and regulatory compliance across a remote healthcare contact center. You will design quality programs, build dashboards, and tune AI-driven QA tools to minimize hallucinations while...Remote work
- ...CLINICAL QUALITY ANALYST - REGISTERED NURSE (FT-SALARIED/EXEMPT) Cody Regional Health · QUALITY... ...: This position is onsite only . Remote work is not available for this role... ...performance, patient safety, regulatory compliance, and quality improvement initiatives....Remote workFull timeWork at office
- ...Working remotely in a full-time capacity, the Quality Compliance Analyst will execute quality assurance initiatives, drive continuous process improvements, and optimize contact center workflows across omni-channel interactions in a healthcare environment. Key responsibilities...Remote workFull time
$75k - $90k
...retention, and reduce study costs. By embedding high-quality research within local communities, Hawthorne makes clinical trials more accessible and convenient for... .... The Clinical Imaging Quality and Data Compliance Analyst role is an integral role designed to provide...Remote workFull timeLocal area- ...Highmark Health in the United States is seeking a quality and compliance professional to oversee process improvement, medical record review, and coding across product lines. The role focuses on documenting care in ICD-10-CM coding and aligning with CMS and NCQA standards...Work at office
- ...enterprise programs. Desirable AHIMA/AAPC credentials (RHIA, RHIT, CCS, CCS-P, CPC) and the ability to support enterprise coding guidance, audits, and education. Remote work may be approved for certain states; 40 hours per week, Monday-Friday. #J-18808-Ljbffr Advocate HealthRemote jobMonday to Friday
- ...LLNL) is seeking an Environmental Analyst to support the Environment,... ...Health Directorate, Waste and Air Quality Office. The role involves advanced regulatory compliance work in air quality and... ...with some days onsite and others remote. The position requires strong analytical...Remote workWork at office
- ...Highmark Health is seeking a quality and compliance professional to lead process improvements across compliance, coding and documentation initiatives. You will analyze data, conduct medical record reviews, and educate providers on CMS and NCQA standards to improve STARS...
- ...Highmark Inc. is seeking a Compliance/Quality Improvement professional to partner with departments across the organization. You will review medical records, ensure proper ICD-10-CM coding, and drive process improvements to elevate member and provider satisfaction....
- ...Highmark Inc. is seeking a Quality Improvement role focused on process improvement and accurate ICD-10-CM coding across product lines. The role entails collaboration with compliance, coding, and accreditation teams to support STARs and HEDIS initiatives. The candidate...
- ...Highmark Inc. in the Iowa City area is seeking a compliance-focused professional to work with departments across compliance, process improvement, medical record review, and coding to enhance quality of care and documentation. The role emphasizes educating providers...
- ...Highmark Inc. seeks a healthcare quality professional to lead process improvements across compliance, coding, and documentation. You will analyze data, conduct medical record reviews, and ensure accurate ICD-10-CM coding for better STARS and value-based outcomes. The role...Work at office
- ...Highmark Inc. is seeking a Healthcare Compliance Analyst to collaborate with compliance, process improvement, medical record review, and coding teams across all product lines. You will support documentation improvement, ICD-10-CM coding accuracy, and provider education...Work at office
$80k - $90k
...enable their employees to live their healthiest lives. The Quality Compliance and AI Operations Analyst for Vida Member Services is responsible for executing... ...analytics, and operational data analysis within a remote healthcare contact center environment. \n Responsibilities...Remote workFull timeLocal areaVisa sponsorshipWork visa- Highmark Health in the United States seeks a healthcare quality professional to lead process improvement, documentation, and coding initiatives across product lines. You will work with compliance and medical record departments to enhance care quality and STAR ratings. The...
- Highmark Health seeks a quality and compliance professional to lead process improvements, enhance medical record documentation, and ensure accurate ICD-10-CM coding across products. You will educate providers, perform audits, and coordinate credentialing and site visits...
$101.4k - $154.65k
...accountability for IT’s contribution to the corporate quality management system (ISO 9001).The Senior IT GxP and Quality Compliance Analyst partners closely with the Bioanalytical Lab... ...Good Laboratory Practice (GLP) and Good Clinical Laboratory Practice (GCLP). Own and...Full timeTemporary workWork at officeFlexible hours- ...CASES is seeking a Senior Clinical Quality Specialist in Brooklyn, NY to support continuous quality... ...across CASES programs. You will ensure compliance with NYS regulations, HIPAA, and 42 CFR... ..., and strong analytical skills; remote work with occasional in-person regulatory...Remote work
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