eTeam · 6 hours ago
Clinical Quality Management Analyst
United States
Contract
Remote
Mid Level
$39/hr - $43/hr
3+ years expeTeam is seeking a Clinical Quality Management Analyst who will work with various departments to ensure compliance and improve processes related to medical care and documentation. The role involves mining medical records and implementing quality improvements to enhance member and provider satisfaction.
Information Technology
No H1B
U.S. Citizen Only
Responsibilities
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
Qualification
Required
Must be a US Citizen
Must reside in PA
Must complete the Clinical Quality Management Analyst Assessment
Must be a Registered Nurse 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
Preferred
Quality improvement experience preferred
Company
eTeam
eTeam is a staffing agency that also provides payrolling services.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2023-12-04Acquired
Leadership Team
Swetta Bhatt
CEO APAC & India
Aanchal Thakur
Chief Customer Officer
Recent News
2025-11-19
2025-08-21
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