Clinical Quality Assurance Auditor (jackson, Tn Region)

BCBST BlueCross BlueShield of Tennessee, Inc.

Jackson, TN, US
**
Active rn license
Strong clinical background
Experience in quality compliance
** BlueCross BlueShield of Tennessee is seeking a Clinical Quality Assurance Auditor for the Jackson, TN region. The role involves reviewing network providers for compliance with quality standards and regulations, requiring an active RN license and strong clinical background. **

Job Summary

  • You will play a critical role in ensuring our members receive high-quality care by reviewing network providers for compliance with internal quality standards and external regulatory requirements.
  • As a regional auditor, you will build strong, trusted relationships with provider offices in the community while serving as a key ambassador for quality.
  • If you are passionate about promoting quality care for our members and collaborating with providers while leveraging your clinical expertise, we would love to connect with you.

Matching Summary

Match Score: 75

** BlueCross BlueShield of Tennessee is seeking a Clinical Quality Assurance Auditor for the Jackson, TN region. The role involves reviewing network providers for compliance with quality standards and regulations, requiring an active RN license and strong clinical background. **

Skills & Requirements

Must-have

  • Active RN license
  • Strong clinical background
  • Experience in quality compliance

Nice-to-have

  • Strong communication skills
  • Self-motivated nurse
  • Ability to build relationships

Key Requirements

  • Bachelor's Degree in Health Care
  • 4 years of Health Care experience
  • 1 year of Managed care experience

Work Rights

Not specified

Tailored Resume

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