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Clinical Quality Assurance Analyst

 

Job Description:


Now hiring for a Clinical Quality Assurance Analyst
Location: Nashville, TN
Pay Rate: $32.00 – $35.00 per hour
Schedule: Typically 9 a.m.–5 p.m. in the employee’s local time zone, with flexibility
Location: Fully remote; open to qualified candidates across the United States

Find more than a Clinical Quality Assurance Analyst job with Staffmark — find a team that values your time, talent, and potential. 

Looking for Clinical Quality Assurance Analyst jobs in Nashville where your skills can make a real impact? This opportunity offers the chance to contribute to a growing team, develop your experience, and build a rewarding career in a professional work environment.

If your skills and experience are a good match for this role please apply today. This opportunity is being offered by Staffmark to qualified candidates.

The Clinical Quality Assurance Analyst supports quality standards in clinical data and reporting through auditing, training, and collaboration. This role helps ensure clinical data is understood, maintained, and reported accurately across the enterprise.

Duties and Responsibilities

  • Develop and maintain expert knowledge of CCS clinical chart review, auditing, clinical data extraction, and affiliate services.
  • Assist with developing, organizing, and implementing companywide quality improvement efforts.
  • Monitor quality and reliability, and maintain quality reporting mechanisms and management tools.
  • Analyze audit results and consolidate findings for senior leadership and other key stakeholders.
  • Ensure compliance with contractual, local, state, and national quality standards.
  • Support clinical product strategy through competitive research, peer comparisons, clinical research and development, staffing requirements, and market opportunity analysis.
  • Support clinical product implementations and help ensure projects meet established timelines, budgets, and written requirements.
  • Assist with developing and delivering initial and ongoing training for review personnel.
  • Maintain open communication with key stakeholders.
  • Recommend process and technical improvements and document changes as appropriate.
  • Assist with developing, implementing, and managing internal and client-facing clinical auditing programs.
  • Support and strengthen client relationships across the company’s quality management services.
  • Collaborate with cross-functional teams using strong clinical and business knowledge.
  • Follow CCS policies, procedures, mission, and goals.
  • Maintain confidentiality and comply with all HIPAA requirements when handling data or providing services.
  • Perform other related duties as assigned.

Qualifications

  • Five years of clinical experience, preferably nursing, or five years of hands-on healthcare auditing experience.
  • Four years of healthcare plan or quality improvement experience, with familiarity with Medicare, Medicaid, and other insurance.
  • Nursing licensure is not required. Relevant coding credentials or experience may qualify.
  • Strong analytical skills and the ability to understand company products and processes.
  • Strong organizational, communication, and problem-solving skills.
  • Basic Excel skills, including working with tables, sorting, and filtering.
  • Ability to learn systems quickly, manage priorities, and work independently in a remote environment.
  • Relevant clinical or healthcare auditing knowledge to support accurate reviews and reporting.

Education

  • Bachelor’s degree preferred; equivalent experience considered.

Benefits

  • Competitive Weekly Pay
  • Comprehensive Benefits including medical, dental, and vision coverage.
  • Life Insurance and Disability Insurance for added peace of mind.
  • Optional 401(k) Plan to help you prepare for the future.
  • Opportunities for Growth through a variety of assignments with leading employers.

Real People. Real Support.
“The supervisors are such great people — very friendly and attentive.” – Jesus, Staffmark Associate

What You Will Do

As a Clinical Quality Assurance Analyst you will perform responsibilities that support the daily operations of your assigned employer while following established procedures, quality standards, and workplace safety requirements. Duties may include operating equipment, working with customers, handling materials, preparing documentation, supporting administrative activities, using technology, collaborating with team members, or completing other responsibilities appropriate to the position. Successful Clinical Quality Assurance Analyst professionals demonstrate adaptability, professionalism, attention to detail, and a commitment to producing quality work while contributing to organizational success.

  • Duties and Responsibilities Develop and maintain expert knowledge of CCS clinical chart review, auditing, clinical data extraction, and affiliate services.
  • Assist with developing, organizing, and implementing companywide quality improvement efforts.
  • Monitor quality and reliability, and maintain quality reporting mechanisms and management tools.
  • Analyze audit results and consolidate findings for senior leadership and other key stakeholders.
  • Ensure compliance with contractual, local, state, and national quality standards.
  • Support clinical product strategy through competitive research, peer comparisons, clinical research and development, staffing requirements, and market opportunity analysis.
  • Support clinical product implementations and help ensure projects meet established timelines, budgets, and written requirements.
  • Assist with developing and delivering initial and ongoing training for review personnel.
  • Maintain open communication with key stakeholders.
  • Recommend process and technical improvements and document changes as appropriate.
  • Assist with developing, implementing, and managing internal and client-facing clinical auditing programs.
  • Support and strengthen client relationships across the company’s quality management services.
  • Collaborate with cross-functional teams using strong clinical and business knowledge.
  • Follow CCS policies, procedures, mission, and goals.
  • Maintain confidentiality and comply with all HIPAA requirements when handling data or providing services.
  • Perform other related duties as assigned.

A Clinical Quality Assurance Analyst helps organizations succeed by performing work that supports productivity, customer satisfaction, and overall business performance. This role combines responsibility, teamwork, and attention to detail across a wide variety of workplace settings.

The Clinical Quality Assurance Analyst follows workplace procedures, supports operational goals, and contributes to positive team environments while maintaining professionalism and quality standards.

This profession offers rewarding opportunities across many industries and career paths.


About Us

At Staffmark, we connect hardworking people with great companies, creating opportunities that make a lasting impact.

Staffmark is an equal opportunity employer. All applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other legally protected status. Staffmark offers reasonable accommodations for qualified individuals with disabilities; contact your local branch for inquiries. Staffmark is an E-Verify employer. See our Privacy Notice for Candidates and Employees/Contractors at https://smgroupna.com/privacy-notice-for-candidates-and-employees-contractors. By applying, you consent to receive AI-generated and non-AI-generated calls, texts, or emails from Staffmark Group, its affiliates, and partners. Frequency varies and message/data rates may apply. Reply STOP to cancel or HELP for help.