Quality Management Specialist

A company is looking for a Quality and Utilization Management Specialist to coordinate licensing and compliance efforts.

Key Responsibilities

Document and track licensing requirements and application statuses

Collaborate with internal departments and external vendors for timely completion of licensing submissions

Support the development and implementation of quality improvement and utilization management initiatives

Required Qualifications

2 or more years of applicable work experience

High School Diploma or GED required

Experience with Utilization Management Licenses (Nationwide)

Experience with NCQA / URAC accreditation

Associate's degree or equivalent experience in compliance preferred