eTeam Inc. logo

Clinical Quality Management Analyst

eTeam Inc.
  • Pittsburgh, PA
  • Remote
  • $38–$43.50 Per Hour
  • Instant Apply
5 days ago
eTeam Inc.

Job Description

Job Title: Clinical Quality Management Analyst
Location: 100% remote, must reside in PA
Duration: 4 Months (Possible extension)

Must complete the Clinical Quality Management Analyst Assessment.

Job Description:
  • This job works with appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines. Recommends and implements process improvements related to the potential of quality medical care and service to members and to improve documentation of these services for appropriate ICD 10-CM coding.
  • This is a medical review position. Will be mining medical records
  • Must be a RN or LPN in PA
  • Must have 3-5 years of medical review experience
  • Must have HEDIS experience
  • Must have medical review experience
  • Must have Customer service experience
  • Must have attention to detail
  • Must be proficient in Excel
  • Must be tech savvy
  • Quality improvement experience preferred

Numbers & Facts

LocationPittsburgh, PA (
Remote
)
IndustryOther/Not Classified
Salary$38–$43.50 Per Hour
Company Size100 to 499 employees
Year Founded1998
Websitewww.eteaminc.com

About Company

Looking for a great job? Join eTeam. We’re looking for talented staffing professionals to join our staff. We also provide contract assignments and full-time jobs at Fortune 2000 Companies. We’ve been named one of the best companies to work for by Staffing Industry Analysts and New Jersey Business.

Skills

  • Code Reviewsunmatched
  • Customer Support/Serviceunmatched
  • Detail Orientedunmatched
  • Documentationunmatched
  • Healthcare Effectiveness Data and Information Set (HEDIS)unmatched
  • Healthcare Qualityunmatched
  • ICD-10unmatched
  • Medical Recordsunmatched
  • Patient Careunmatched
  • Process Improvementunmatched
  • Quality Managementunmatched

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