TIMESSQUARETECH NYC INC

Clinical Quality Management Analyst

Posted on

December 17, 2025

Job Type

Contract

Role Type

Clinical Operations

License

State License

Pennsylvania

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Help & Resources

Company Description

Job Description

Requirements

This is a medical review position. Will be mining medical records Must be a Registered Nurse in PA Must have 3-5 years of medical review experience Must have HEDIS experience Must have medical review experience Must have Customer service experience Must have attention to detail Must be proficient in Excel Must be tech savvy Quality improvement experience preferred Must complete the Clinical Quality Management Analyst Assessment.

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Responsibilities

This job works with appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines. Recommends and implements process improvements related to the potential of quality medical care and service to members and to improve documentation of these services for appropriate ICD 10-CM coding.

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