The Clinical QA Specialist is a position that focuses on supporting our robust quality assurance (QA) program. Functions include: review, research, and report all member complaints and inquiries, sample and review provider consults for documentation standards and clinical appropriateness, and review members with frequent utilization of the program. It may also involve the development and updating of evidence-based clinical guidelines and support for quality and credentialing committees.
CLINICAL QA SPECIALIST | REMOTE
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