Remote Clinical Quality & Compliance Supervisor

Alliance Health in; Morrisville (NC); Remote; USD 79,000 - 101,000; Full time

Benefits offered by this job

Hybrid/Remote options

Generous retirement plan

Paid time off

Dress flexibility

Job summary

Alliance Health is seeking a Supervisor-External Clinical Quality Analyst to oversee a team conducting provider-led Tailored Care Management record reviews, ensuring accuracy and adherence to standards. This remote, North Carolina-based role includes leadership, training, and cross-functional collaboration to drive quality and compliance.

Responsibilities include monitoring workflows, auditing processes, and reporting outcomes.

Qualifications

• Bachelor’s degree in a related field and 6 years of experience in behavioral health, healthcare quality, compliance, auditing, care management operations, utilization management, or related with 2 years leadership preferred.
• Experience interpreting healthcare/behavioral health documentation and regulatory requirements.

Responsibilities

• Team Leadership and Management: supervise, coach, and develop a team of clinicians and staff performing Tailored Care Management record reviews.
• Audit Operations: oversee planning, execution, and completion of Tailored Care Management reviews.
• Quality and Compliance: ensure activities comply with regulations, accreditation standards, and contractual requirements.
• Stakeholder Collaboration: partner with Tailored Plans, NC DHHS, and others on monitoring activities and quality improvement.
• Data Analysis & Reporting: analyze data and prepare reports for leadership.

Skills

Leadership

Data analysis

Regulatory compliance

Quality audits

Stakeholder collaboration

Communication skills

Mentoring/training

Education

Bachelor’s degree in Healthcare Administration

Bachelor’s degree in Public Health

Bachelor’s degree in Social Work

Job description

Alliance Health is seeking a Supervisor-External Clinical Quality Analyst to oversee a team conducting provider-led Tailored Care Management record reviews, ensuring accuracy and adherence to standards. This remote, North Carolina-based role includes leadership, training, and cross-functional collaboration to drive quality and compliance.

Responsibilities include monitoring workflows, auditing processes, and reporting outcomes.