31 Jobs in woonsocket, ri
Capleo Global is Hiring a Quality Management Consultant Near Woonsocket, RI
Duration: 03 Months with possibility of extension
Location: Remote
Shift hours: M-F 8-5
Job DescriptionThe QM Consultant develops and implements data-driven strategies/interventions that ensure the delivery of time sensitive health benefits and services for members.
The QM Consultant directs coordination of care between the member, clinical care team, and providers and takes part in the analysis and reporting of member data to monitor outreach effectiveness.
The QM Consultant conducts targeted member/provider education and outreach initiatives and supports the development of HEDIS interventions and initiatives within the Quality Management Team.
The QM Consultant reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with HEDIS, regulatory, and accreditation requirements for member and/or provider issues.
This position independently coordinates the clinical resolution for members with health needs with internal/external clinician support as required.
Qualification5 years experience in a clinical role or health related field, license and master's degree preferred.
Job Summary
Full Time
$87k-109k (estimate)
06/01/2024
06/21/2024
The job skills required for Quality Management Consultant include Initiative, Quality Management, etc. Having related job skills and expertise will give you an advantage when applying to be a Quality Management Consultant. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Quality Management Consultant. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Quality Management Consultant positions, which can be used as a reference in future career path planning. As a Quality Management Consultant, it can be promoted into senior positions as a Quality Assurance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Quality Management Consultant. You can explore the career advancement for a Quality Management Consultant below and select your interested title to get hiring information.
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