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Clinical Quality Management Analyst

External
bcbsnc logoBcbsnc · Hybrid Flex - Durham
Full-timeRemote2w ago
ComplianceExcel
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Responsibilities

  • What You Have
  • RN with 3 years of clinical experience or LPN with 5 years of clinical experience required.
  • For Behavioral Health specific roles, other applicable licensure may be considered with a minimum of 3 years of clinical experience.
  • Must have previous work experience in applicable business area (i.e. UM, CM, Medical Review or quality programs).
  • Bachelor's degree or advanced degree preferred.
  • Bonus Points
  • Experience presenting to clinical staff in primary care settings
  • Knowledge of HEDIS or healthcare quality measures
  • Strong Excel and PowerPoint proficiency
  • Ability to translate data into insights ( data storytelling )
  • Strong presentation and communication skills
  • Relationship-building with provider systems
  • Flexibility and willingness to travel (25%)
  • What You 'll Get
  • The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community
  • Work-life balance, flexibility, and the autonomy to do great work
  • Medical, dental, and vision coverage along with numerous health and wellness programs
  • Parental leave and support plus adoption and surrogacy assistance
  • Career development programs and tuition reimbursement for continued education
  • 401k match including an annual company contribution
  • Learn more
  • Where You 'll Work
  • Our Hybrid Flex approach is built on presence with a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplace that's flexible, connected, and future focused.
  • In a Hybrid-Flex role, you'll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you'll work virtually, with a few in-office visits each year for meaningful moments that matter.
  • Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.
  • Salary Range
  • *Based on annual corporate goal achievement and individual performance.
  • $73,698.00 - $117,917.00

Requirements

  • Clinical Decision Support (CDS), Clinical Quality Management, Clinical Research, Health Care, Healthcare Operations, Healthcare Policies, Health Information Technology (HIT), Medical Knowledge, Patient Safety, Quality Improvement _____________________________________________________________________

Benefits

Health insuranceDental insuranceVision insurance401(k)Paid time offRemote work optionsFlexible schedulePerformance bonusParental leave

Additional Information

Job Description Evaluates, analyzes and monitors staff or provider performance to achieve excellence in quality. Provides timely, relevant, accurate, and objective feedback to staff, providers, and the management team which includes a plan of action or recommendations when deficiencies are identified. Acts as technical resource and develops learning solutions that engage the learner and produces desired business goals and objectives.


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