Clinical Practice Analyst in Northwest Virginia (Charlottesville, Harrisonburg, Lexington)
Sentara(13 days ago)
About this role
Sentara Health Plans is hiring a Clinical Practice Analyst who will review clinical documentation, evaluate medical necessity, and monitor provider compliance to improve care delivery and operational efficiency. The role involves collaborating with providers, analyzing data, and supporting continuous improvement initiatives.
Required Skills
- Regulatory Compliance
- Medical Necessity
- Clinical Documentation
- Data Analysis
- Provider Collaboration
- CMS Standards
- Quality Assurance
- Auditing
Qualifications
- Active Virginia clinical licensure - LPN or RN
- MLD - Master's Level Degree
About Sentara
sentaracareers.comJoin a national healthcare leader dedicated to growth, innovation and patient safety. Join Sentara.
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