Licensed Clinical Quality Manager

Job Summary

A company is looking for a Clinical Quality Program Manager.

Key Responsibilities:

• Ensure compliance with regulatory standards and support integration into practices
• Generate and validate reports to monitor performance across health plan contracts
• Conduct audits of UM decisions and prepare for regulatory and accreditation audits

Required Qualifications:

• At least 4-6 years of relevant work experience
• Experience leading quality improvement projects and committee work
• Bachelor's Degree or equivalent work experience
• Active, unrestricted clinical license (RN, PT, OT, or SLP) preferred
• 1-2 years of knowledge of NCQA UM accreditation standards preferred