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Clinical Quality Assurance Analyst
- Tennessee
- Nashville
- Pay : $ 32.00 - 35.00 per hour
Job Description:
Now hiring for a Clinical Quality Assurance Analyst
Location: Nashville, TN
Pay Rate: $32.00 – $35.00 per hour
Schedule: M-F 9a-5p
Join the team. Be valued.
Pros wanted. This is your kind of job.
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.
Job Duties- Conduct clinical chart reviews, audits, and clinical data validation to ensure accuracy and compliance.
- Monitor quality metrics and maintain reporting tools that support healthcare quality initiatives.
- Analyze audit findings and prepare reports for leadership and key stakeholders.
- Support company-wide quality improvement programs and clinical auditing processes.
- Ensure compliance with contractual, state, federal, and healthcare quality standards.
- Assist with clinical product implementation, project timelines, and process improvement initiatives.
- Develop and deliver training programs for clinical review and auditing personnel.
- Collaborate with cross-functional teams to support quality management services and client relationships.
- Research industry trends, competitive benchmarks, and healthcare quality opportunities.
- Recommend process improvements and document procedural enhancements.
- Maintain compliance with HIPAA regulations and company policies.
- Bachelor’s degree preferred; equivalent healthcare, clinical, or auditing experience will be considered.
- Relevant coding certifications, healthcare auditing credentials, or quality management experience are a plus.
- Strong computer proficiency, including Microsoft Excel (sorting, filtering, and data analysis).
- Minimum 5 years of clinical healthcare experience, nursing experience, or hands-on healthcare auditing experience.
- At least 4 years of healthcare quality improvement, health plan, or managed care experience.
- Knowledge of Medicare, Medicaid, commercial insurance, and healthcare compliance standards.
- Strong analytical, organizational, communication, and problem-solving skills.
- Ability to work independently, manage multiple priorities, and learn new systems in a remote environment.
- Experience with clinical chart reviews, clinical data auditing, quality reporting, and process improvement preferred.
- Ability to work remotely and remain productive in a home-office environment.
- Extensive computer use, including reviewing clinical records, reports, and audit documentation.
- Ability to attend virtual meetings and collaborate with cross-functional teams.
- Must maintain HIPAA compliance and confidentiality when handling sensitive healthcare information.
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.
Don’t Take It from Us. Ask Tom.
“They are so patient, one of the best agencies I have worked for in 10 years.” – Tom, 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.
- 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 supports business operations by performing assigned duties that contribute to efficient, safe, and productive workplaces. This position requires flexibility, strong work habits, and a commitment to quality.
The Clinical Quality Assurance Analyst works collaboratively with coworkers, follows established procedures, and helps maintain professional standards while supporting organizational success.
This profession rewards dependable individuals who enjoy meaningful work and continuous development.
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.
Recruiter contact info for this job
This job is supported by a client-dedicated recruiting team (recruiters working directly at the client site). If you need to contact a recruiter about this role, please use the link directly under the apply button where you'll find the fastest method to get in touch with them directly.