Clinical Quality Assurance Auditor
BlueCross BlueShield of Tennessee(16 days ago)
About this role
The Clinical Quality Assurance Auditor at BCBST Tennessee is responsible for reviewing clinical documentation, analyzing data to identify performance gaps, and supporting quality initiatives to improve care outcomes for senior members. The role involves collaboration with healthcare providers, ensuring regulatory compliance, and facilitating quality measurement processes.
Required Skills
- HEDIS
- Medical Records
- Audit
- Data Analysis
- Regulatory Compliance
- Quality Improvement
- Communication
- Microsoft Office
- Clinical Documentation
- Managed Care
Qualifications
- RN License
- Bachelor's Degree in Health Care Related Field
About BlueCross BlueShield of Tennessee
bcbst.comLearn more about BlueCross BlueShield of Tennessee (BCBST) health insurance and the medical, dental and vision plans we offer for employers, individuals and families.
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