Quality Reviewer jobs in United States
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AtlantiCare · 1 day ago

Quality Reviewer

positionEgg Harbor, NJ
timeFull-time
remoteOnsite
seniorityMid Level
date3+ years exp

AtlantiCare is seeking a Quality Reviewer responsible for overseeing quality reporting processes to payers and conducting in-office assessments. The role involves analyzing health data, ensuring compliance with regulations, and providing feedback to enhance quality outcomes in healthcare practices.

CRMFitnessHealth CareInformation Technology
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H1B Sponsor Likelynote

Responsibilities

Overseeing quality reporting processes to payers, including in-office assessments (IOAs)
Attending regular meetings with payers to review data and identify opportunities for improvement
Collecting and analyzing health data to identify trends and gaps in care
Ensuring compliance with regulations such as HEDIS and CMS guidelines
Providing feedback to healthcare practices to enhance quality outcomes
Tracking performance by chart auditing clinical staff
Reporting findings to leadership
Supporting organizational goals by providing quality customer service
Participating in performance improvement efforts
Demonstrating a commitment to teamwork and cooperation

Qualification

Quality reporting processesData analysisHEDIS complianceCMS guidelinesChart auditingAmbulatory care experienceCustomer serviceTeamwork

Required

High school diploma or equivalent
Minimum 3 years' experience required within an ambulatory care setting
Valid driver's license
Minimum 3 years of experience required within an ambulatory care setting

Preferred

Certified Medical Assistant

Benefits

Generous Paid Time Off (PTO)
Medical, Prescription Drug, Dental & Vision Insurance
Retirement Plans with employer contributions
Short-Term & Long-Term Disability Coverage
Life & Accidental Death & Dismemberment Insurance
Tuition Reimbursement to support your educational goals
Flexible Spending Accounts (FSAs) for healthcare and dependent care
Wellness Programs to help you thrive
Voluntary Benefits, including Pet Insurance and more

Company

AtlantiCare

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AtlantiCare is a provider of health information and health engagement with emphasis on healthy, at-risk, acute or chronic illnesses.
dateFounded in 1993
location
Brigantine, New Jersey, USA
people-size5001-10000 employees
web-link
http://www.atlanticare.org

H1B Sponsorship

AtlantiCare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (5)
2023 (11)
2022 (9)
2021 (3)
2020 (8)

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Exact Sciences
2022-09-22Grant

Leadership Team

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Michael Charlton
President and CEO
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Jordan Ruch
Chief Information Officer
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Recent News

Njbiz
Healthgrades honors top New Jersey hospitals for specialty care
2025-11-02
PR Newswire
Nationally Recognized Breast Surgeon Kay Yoon-Flannery, DO, MPH, FACS Named Chief of Women's Oncology at AtlantiCare Cancer Care Institute
2025-09-09
PR Newswire
AtlantiCare President and CEO Michael Charlton Hosts Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz for One of His First Integrated Health System Visits in the Nation
2025-07-19
Company data provided by crunchbase