Quality Review Specialist III

🕒 July 2

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Qlarant

Qlarant

501 - 1000 employees

Founded 1973

🏛️ Government

⚕️ Healthcare Insurance

Government • Healthcare Insurance • Insurance & Financial Services

Qlarant is a US-based services and technology firm specializing in healthcare program integrity, offering quality improvement, fraud, waste & abuse (FWA) detection and investigative services, and advanced data analytics and predictive modeling tools (the RIViR® Risk Solution Suite) for government agencies, health plans, and related sectors. The company also operates initiatives like the Qlarant Foundation and Qlarant Capital to fund grants and early-stage startups, and provides pharmacy, drug pricing, and transportation-focused solutions.

📋 Description

• Facilitates routine evaluations to assess the extent to which individuals with intellectual developmental disabilities (IDD) are receiving customized support and services • Performs scheduled reviews to assess effectiveness of IDD service providers • Assists management in identifying areas for improvement in service delivery • Analyzes data related to program outcomes and client satisfaction

🎯 Requirements

• Minimum Bachelor's Degree required • 5 - 7 years of experience required; 8 - 11 years preferred • Must meet the criteria to be a Developmental Disabilities Professional (DDP) • Qualified Intellectual Disabilities Professional (QIDP)

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development

Apply Now

Similar Jobs

🕒 June 30

Quality Improvement Specialist responsible for reviewing healthcare documentation and enhancing care delivery. Collaborating with healthcare professionals to ensure compliance with standards and improve patient outcomes.

🕒 June 29

WVU Medicine

10,000+ employees

⚕️ Healthcare Insurance

Quality Improvement Specialist at WVUM reviewing healthcare documentation and ensuring compliance with standards. Collaborating with healthcare professionals to enhance care delivery.

🕒 June 25

MAP Retirement

51 - 200

💸 Finance

🤝 B2B

📋 Compliance

Quality Review Specialist ensuring compliance and quality for MAP Retirement clients by reviewing annual valuations and providing technical assistance. Collaborating with cross-functional teams for improved operations.

🇺🇸 United States – Remote

💵 $75k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Quality Specialist

🕒 June 25

Air Quality Permitting and Reporting Specialist at Sphere 3 Environmental providing regulatory compliance services. Focused on air emission calculations, modeling, and regulatory reporting for various industries.

🕒 June 25

Machinify

1001 - 5000

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

☁️ SaaS

Quality Validation Specialist reviewing outpatient coding audits for accuracy and compliance. Collaborating with leadership to enhance audit quality at a healthcare intelligence company.