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Senior Quality Management Analyst, RN – Blue Cross Blue Shield of Rhode Island – Providence, RI

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…

Job Online on Website: https://justjobs.com/jobsearch/display/721778191?xp=rUcmHam8WgoZcdX8nb!8JCk7Q8pzz*tytN3ZssiZ659r29pt4YGjRAJ2SA*VksuJHV6u!4FY*xOZAAZQPHOW0Bht7BLAv05OZ1OFWZaPKRAUOByw*eSLSBwzWahGcIGZW6QCK9ixLxybE1uEZGxiQd1RxZL1awAREVkfYGjcVbJVvg9KzxUWvFDsDsyk!uxJjJf3mx!djESIvykShDRD4BtQYrsaP2*tTNR9DbdFl6s2fX18ssEcSQMjyw8EnADe

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