Provider Network Evaluator II-Clinical Quality Review - Morrisville
1 month ago

Job summary
The Provider Network Evaluator II performs Clinical Quality Reviews (CQR), Oversight Reviews and plan of correction implementation reviews of service providers contracted with Alliance Health.This is a full-time hybrid position requiring weekly travel to conduct on-site reviews.
Responsibilities
- Clinical Quality Reviews of MH/IDD/SUD Providers in the Alliance Health Network.
- Conduct clinical quality reviews and Oversight Reviews as required and assigned.
Job description
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