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HEDIS Senior Clinical Quality Analyst

Company: VirtualVocations
Location: Knoxville
Posted on: November 1, 2024

Job Description:

A company is looking for a HEDIS Senior Clinical Quality Analyst - REMOTE.



Key Responsibilities

Manage the referrals process, including incoming and outgoing referrals and prior authorizations
Oversee the intake process to ensure timely notification of referrals
Collaborate with team members and other departments for seamless operations


Required Qualifications

Clinical licensure required: RN, LPN, or LVN
Minimum of 3 years of HEDIS / medical record review experience
Minimum of 3 years in the healthcare / health plan industry
Experience with abstraction and overread
Proficient in Microsoft Office applications

Keywords: VirtualVocations, Kingsport , HEDIS Senior Clinical Quality Analyst, Healthcare , Knoxville, Tennessee

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