Lead Analyst, Nurse Quality Clinical Management
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Job Description
RN or LPN supporting Quality Management Program through clinical and operational activities at Cigna Healthcare. Driving quality improvement in patient safety and efficiency with minimal travel.
Responsibilities:
- support the Quality Management Program through multiple clinical, service and operational activities
- driving continuous quality improvement in patient safety and improvements in efficiency and effectiveness
- supporting activities to measure clinical programs and service processes and outcomes
- reviews, investigates and monitors assigned clinical and quality activities
- follow up with internal medical executives/directors, external health care professionals/facilities, and individual customers
- presentation to the Peer Review Committees
- implement partnerships and participate in initiatives focusing on reducing health disparities
- collect and analyze data, develop studies and reports to workgroups and support quality committee activities
- review clinical metrics and data and monitor for patient safety
- support provider performance measurement activities
- define and document policies, standard operating procedures, workflows and processes
- participate and lead special workgroups and process improvement teams as needed
- support regulatory compliance activities as needed
Requirements:
- Bachelor’s degree preferred
- RN or LPN
- Three to five years of quality review and improvement experience preferred
- Managed care or other health and service care delivery service related experience
- Experience with NCQA and/or other accreditation standards, quality management preferred but not required
- Strong oral and written communication skills
- Excellent time management, project management, organizational, research, analytical, communication and interpersonal skills
Benefits:
- medical, vision, dental, and well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
- eligibility to participate in an annual bonus plan
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