Clinical Quality Assurance Auditor - Knoxville
USARemote (US)
Posted 2w ago · via Workday
About this role
The Clinical Quality Assurance team is looking for an auditor based in the Knoxville, TN region .Our RN auditors perform reviews for network providers to ensure our members are receiving quality care in offices that adhere to our internal quality standards as well as those requirements from regulatory bodies such as Medicare, TennCare and NCQA. While working from home, the auditor will travel to provider offices in the Knoxville region to perform different review types for all lines of business. You will be a strong candidate for this role if you have the following: Registered Nurse (RN) with an active Tennessee license or a license from a Nurse Licensure Compact state. 4 years of healthcare experience. 1 year of managed care experience or experience with Quality Medical Record Review.…
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
We compare your skills against the role requirements.
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
More at Bcbst
- View →IT Operations Center TechnicianUSA, TN, Chattanooga, Remote
- View →Data EngineerUSA, TN, Chattanooga, Remote
- View →RPA Team LeadUSA, TN, Chattanooga, Remote
- View →Director, Pharmacy Coverage ReviewsUSA, TN, Chattanooga, Remote
- View →IT Asset Management AnalystUSA, TN, Chattanooga, Remote
- View →Health NavigatorUSA, TN, Chattanooga, Remote