Remote Medical Management Audit & Accreditation Coordinator

HCSC Group; Richardson (TX); Remote; USD 70,000 - 126,000; Full time

Job summary

HCSC Group seeks a Medical Management Accreditation & Audit Coordinator to conduct audits and drive quality improvement within the medical management program. You will analyze compliance with policies, regulatory and accrediting standards and prepare reports for management and committees.

This is a remote-capable role with standard hours, 8 AM to 5 PM CST, Monday–Friday. Richardson, TX is the preferred location for applicants; sponsorship is not available.

Qualifications

• 3 years clinical experience including utilization review or case management.
• Analytical and quality improvement mindset.
• Strong verbal and written communication skills.

Responsibilities

• Conduct audits and monitor ongoing quality improvement activities.
• Analyze compliance with departmental policies and regulatory standards.
• Prepare reports for management and committees.
• Serve as a resource on quality and utilization issues.

Skills

Clinical Experience

Analytical Thinking

Communication Skills

Education

Nursing License

CPHQ Certification

Tools

MS Office

Job description

HCSC Group seeks a Medical Management Accreditation & Audit Coordinator to conduct audits and drive quality improvement within the medical management program. You will analyze compliance with policies, regulatory and accrediting standards and prepare reports for management and committees.

This is a remote-capable role with standard hours, 8 AM to 5 PM CST, Monday–Friday. Richardson, TX is the preferred location for applicants; sponsorship is not available.