Manager, Clinical Quality

HealthEdge

Manager, Clinical Quality overseeing clinical quality assurance activities for health plans' Utilization Management. Leading compliance, reporting, and team management across multiple locations.

Posted 5/28/2026full-timeRemote • 🇺🇸 United StatesSeniorLead💰 $95,000 - $110,000 per yearWebsite

About the role

Key responsibilities & impact

Management and oversight of a quality team conducting quality assurance activities across multiple locations
Oversight of key metrics, including quality, productivity, and compliance
Responsible for the successful execution of the Quality Improvement Program

Requirements

What you’ll need

Bachelor’s degree in nursing is required
Active RN license is required
10+ years experience with progressive responsibility in healthcare administration, clinical quality or a health plan
5+ years management experience in Health Management

Benefits

Comp & perks

Health insurance
Paid time off
Flexible work arrangements
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

quality assurancequality improvementhealthcare administrationclinical qualityhealth plan management

Soft Skills

managementoversightleadership

Certifications

Bachelor’s degree in nursingActive RN license