Highmark Health

Creating remarkable health experiences, freeing people to be their best.

Clinical Quality Management Analyst – Registered Nurse

Business AnalystBusiness AnalystFull TimeRemoteTeam 10,001+Since 1852H1B SponsorCompany SiteLinkedIn

Location

Louisiana + 4 moreAll locations: Louisiana, North Carolina, Maryland, Pennsylvania, Washington

Posted

33 days ago

Salary

$50.2K - $91.2K / year

Bachelor Degree3 yrs expExperience acceptedEnglish

Job Description

• Develop and manage process improvement initiatives for member and providers • Conduct, collect and analyze information from office site and/or medical record reviews • Monitor changes, corrections and clarifications in applicable regulatory/accrediting body requirements • Conduct continuing education to providers on STARS, HEDIS, and HCC Coding

Job Requirements

  • Current state RN or LPN license or Bachelor’s degree in a Healthcare-related field
  • 3 years of nursing or healthcare-related field experience
  • 6 years of experience with HEDIS/Quality abstraction, HCC Coding/medical coding, or healthcare related field in lieu of bachelor's degree

Benefits

  • Health insurance
  • Retirement plans
  • Professional development opportunities
  • Paid time off

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