Clinical Practice Analyst in Central Virginia (Richmond, Chesterfield, Petersburg)
Sentara(13 days ago)
About this role
Sentara Health Plans is seeking a Clinical Practice Analyst with a clinical licensure in Virginia to review clinical documentation, evaluate medical necessity, and support compliance efforts within the healthcare industry. The role involves working remotely with some provider visits across Central Virginia, contributing to quality improvement and regulatory adherence.
Required Skills
- Clinical Documentation
- Medical Necessity
- Regulatory Compliance
- Audit
- Data Analysis
- Provider Relations
- Healthcare Regulations
- Quality Improvement
- Health Plan
Qualifications
- Virginia clinical licensure (LPN, RN, LCSW, LPC)
- Master's degree in a relevant field
- Minimum 3 years of professional experience
- Experience with CMS and regulatory standards
About Sentara
sentaracareers.comJoin a national healthcare leader dedicated to growth, innovation and patient safety. Join Sentara.
View more jobs at Sentara →Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at Sentara
Similar Jobs
Clinical Denials RN
Guidehouse(1 day ago)
CLINICAL DOCUMENTATION SPECIALIST
Loyola Medicine(12 days ago)
Utilization Management Nurse Consultant - Medical Review (Remote)
Clinical Careers Page(1 month ago)
Regional VP Provider Contracting (Central Region)
Humana(1 month ago)
Senior Appeal and Denial Specialist
10000 Sanford(14 days ago)
Provider File Representative Senior
Highmark Health(19 days ago)