Clinical Quality Performance Specialist
AmeriHealth Caritas
About the role
Role Overview: The Quality Performance Specialist – Clinical supports the Quality Management (QM) team by leading and coordinating clinical quality reviews of member concerns and medical records, ensuring adherence to established standards of care. This role plays a key part in quality improvement initiatives, accreditation readiness, and annual medical record reviews, including Healthcare Effectiveness Data and Information Set (HEDIS) and Clinical Practice Guidelines. Work Arrangement: Remote -…
Read the full description on the original posting.
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