Provider Network Evaluator II-Clinical Quality Review - Morrisville

Only for registered members Morrisville, United States

1 month ago

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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.

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