Clinical Quality Consultant - Remote

Overview

The Clinical Quality Consultant is responsible for overseeing the quality improvement activities/projects as outlined in the Quality Improvement (QI) work plan and as required by applicable laws, regulations, and accreditation standards for Indiana Medicaid.

In Short

• Assists with readiness and QI projects for the CAHPS survey.
• Oversees projects surrounding NCQA LTSS Distinction.
• Ensures accuracy and completeness of QI committee inputs.
• Assures compliance with corporate QI work plans.
• Assists with regulatory reports.
• Provides oversight for clinical data analysis.
• Identifies gaps in quality and technology assessment processes.
• Implements clinical interventions to improve quality of care.

Requirements

• BS in health administration, nursing, or related field; 3 years of healthcare quality or data analysis experience.
• Administrative and organizational skills.
• Data analytic skills and Excel experience.
• Managed Care Quality Experience preferred.
• NCQA Accreditation experience preferred.
• CAHPS experience preferred.
• HEDIS experience preferred.
• Technical writing experience preferred.

Benefits

• Competitive salary.
• Hybrid work model.
• Opportunity to impact healthcare quality.
• Professional development opportunities.
• Collaborative work environment.