Quality Review Specialist III

🔥 0 minutes ago

🐊 Florida – Remote

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💵 $53k - $59k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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

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