North Carolina Licensed Clinical Analyst

Key responsibilities: Conduct quality audits of staff and providers to ensure compliance with regulatory requirements and departmental objectives Provide technical assistance and guidance on clinical decision-making aligned with corporate medical policies Monitor and report on individual and departmental performance results, including benchmarking and trend analysis

Required qualifications: RN with 3 years of clinical experience or LPN with 5 years of clinical experience required Previous work experience in applicable business areas such as Utilization Management, Case Management, or quality programs Bachelor's degree or advanced degree preferred Knowledge of clinical quality improvement operations, including HEDIS, strongly preferred Experience in conducting patient chart reviews to obtain clinical measures is preferred