dedicated to improving member quality of care. Serve as liaison with network … internal business areas to represent quality improvement principles through program … in the final determination of quality of care grievances from members, … and regulatory bodies. Identify quality issues through analysis of data and … implementation, and maintenance of quality initiatives that improve operational … JOB FUNCTIONS: Conduct reviews for quality of care complaints, provider site … accrediting requirements related to quality management, utilization management, etc…
From bcbsri.com – see full text…
