Clinical Quality Specialist

Job Summary

A company is looking for a Market Clinical Quality Specialist III.

Key Responsibilities

• Manage monthly, quarterly, and annual reporting requirements for Quality and Integrated Care teams
• Develop and maintain Metric Dashboards, reports, and tracking for Quality Audits and program quality metrics
• Assist leadership with policy development, case reviews, and planning of Joint Operating Committee meetings

Required Qualifications and Education

• Associates degree in business, health administration, health policy, or related discipline, or equivalent experience
• A minimum of five (5) years of Managed Care or Healthcare Administration experience
• Experience in Quality Improvement, Case Management, or Utilization Review is preferred
• Intermediate skills in Microsoft Excel, Access, and Word; familiarity with SharePoint
• Knowledge of Medicaid and Medicare is beneficial