A company is looking for a Clinical Data Audit Consultant responsible for overseeing clinical data collection and audit activities.
Key ResponsibilitiesAnalyze clinical data for compliance with HEDIS, URAC, and NCQA standardsLead data analysis projects to identify clinical issues and improve service team performanceCoordinate internal and external audits and assist in training clinical staff based on findingsRequired Qualifications and EducationBA / BS in Psychology, Nursing, or related clinical field;
Master's degree preferredThree to five years of case management or related clinical experienceTwo to three years of experience in business studies or analysis within healthcareCurrent, valid, and unrestricted clinical license required
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