Clinical Quality Performance Specialist RN

Job Summary

A company is looking for a Quality Performance Specialist - Clinical.

Key Responsibilities

• Lead and coordinate the clinical quality review process of member concerns and medical records
• Conduct quality-of-care reviews and collaborate with physician advisors and clinical quality committees
• Prepare and manage Quality Assessment and Performance Improvement (QAPI) meeting materials and ensure compliance with QM policies

Required Qualifications

• Associate's Degree or equivalent experience required; Bachelor's Degree preferred
• Minimum 3 years of experience in clinical or service quality improvement, healthcare delivery, or related field
• Active, unrestricted clinical license (RN)
• Prior experience in project facilitation or management preferred
• Proficiency in Microsoft Office Suite (Word, PowerPoint, Excel) required