Clinical Quality Assurance Auditor (Chattanooga or Nashville)
USARemote (US)
Posted today · via Workday
About this role
The Supplemental Data Collection team at BCBST is seeking a Clinical Quality Assurance Auditor to support the organization in meeting compliance standards, optimize Star measure outcomes, and enhance the overall quality of member care. In this role, you will perform quality, compliance, and inter-reviewer audits to identify opportunities for improvement and ensure consistency, accuracy, and adherence to regulatory requirements. You will review and abstract medical records, analyze clinical data, and collaborate with internal stakeholders to support quality initiatives that positively impact Star ratings and member outcomes.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: teams
2
Level fit
We check your title trajectory against the seniority signal of the role.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
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