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Clinical Quality Research Analyst
BlueCross BlueShield of TennesseeClinical Quality Research Analyst supporting healthcare quality improvement at BCBST. Analyzing complex data, conducting audits, and driving operational performance improvements.
About the role
Key responsibilities & impact- Perform quality and/or compliance audits
- Coordinate Process Improvement based upon audit results
- Provide education and guidance on development of measures
- Consult for quality and compliance audits
- Analyze results for trends and identify non-compliance areas
Requirements
What you’ll need- Current RN license
- 4 years of managed care experience
- Experience with regulatory or accrediting body requirements (i.e., URAC, NCQA, EQRO, CMS)
- Certification as a Professional in Healthcare Quality, Lean Six Sigma Certification, or equivalent certification required
- Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint)
Benefits
Comp & perks- Remote work opportunities
- Professional development
- Collaborative team environment
- Flexible work arrangements
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Quality AuditsCompliance AuditsProcess ImprovementTrend AnalysisNon-Compliance Identification
Certifications
Professional in Healthcare Quality CertificationLean Six Sigma Certification