A company is looking for a Senior Specialist, Quality Program Management & Performance RN (Remote in MA).
Key Responsibilities
Conducts quality of care investigations and ensures compliance with state requirements
Performs audits and quality monitoring activities across various healthcare services
Implements quality strategies and evaluates program activities for improvement opportunities
Required Qualifications
At least 3 years of healthcare experience, including 1 year in quality management
Active and unrestricted Registered Nurse license in the state of practice
Experience in quality auditing, peer review, and process improvement
Knowledge of HEDIS and NCQA standards
Experience in behavioral health may be required based on state regulations
Quality Rn • Hartford, Connecticut, United States