Licensed Clinical Quality Manager

A company is looking for a Clinical Quality Program Manager.

Key Responsibilities :

Ensure compliance with regulatory standards and support integration into practices

Generate and validate reports to monitor performance across health plan contracts

Conduct audits of UM decisions and prepare for regulatory and accreditation audits

Required Qualifications :

At least 4-6 years of relevant work experience

Experience leading quality improvement projects and committee work

Bachelor's Degree or equivalent work experience

Active, unrestricted clinical license (RN, PT, OT, or SLP) preferred

1-2 years of knowledge of NCQA UM accreditation standards preferred