Clinical Quality and Regulatory Specialist
Highmark Health(13 days ago)
About this role
This role is responsible for ensuring clinical quality and regulatory compliance within the Utilization Management department for government and delegated vendors. It involves overseeing policies, audits, reporting, and regulatory monitoring to maintain accreditation and adherence to evolving laws.
Required Skills
- Regulatory Compliance
- Audit
- Data Analysis
- Policy Development
- Clinical Knowledge
- Quality Assurance
- Report Writing
- Healthcare Regulations
- Project Management
- Team Collaboration
About Highmark Health
highmarkhealth.orgA national health and wellness organization as well as the second largest integrated delivery and financing system in America.
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