Clinical Compliance Associate Manager

Job Summary

To support the Clinical Quality Administration department, the full-time remote Clinical Compliance Associate Manager will coordinate processes, manage the practitioner scope-of-practice database, and provide cross-functional support for clinician management.

Key responsibilities

• Assist in managing Clinical Quality Administration functions and ensure project accuracy and productivity
• Research clinical issues and regulatory language, and draft memos for internal committees
• Serve as a resource for compliance inquiries and support the development of quality improvement studies

Required qualifications

• Bachelor's Degree or equivalent experience required; Bachelor's in Health Care Policy or Administration preferred
• 2 years of experience in healthcare administration or compliance required
• Experience with utilization management review or scope of practice review required
• Knowledge of CPT, ICD, and HCPC coding preferred
• Valid clinical license (e.g., RN, MD, PT) preferred