Supervisor-External Clinical Quality Analyst (Full-time Remote, North Carolina Based)

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

If you are a job seeker with a disability and require a reasonable accommodation to apply for one of our jobs, you will find the contact information to request the appropriate accommodation by visiting the following our Accessibility Accomodation for Applicants page.

Supervisor-External Clinical Quality Analyst (Full-time Remote, North Carolina Based)

• Posted on September 22, 2026

Locations

Showing 1 location Home Office
Morrisville, NC 27560, USA
+4 more locations

• Remote
• Provider Network Management
• Full-Time
• Requisition #: SUPER003557

Description

The Supervisor-External Clinical Quality Analyst oversees a team of licensed and non-licensed staff responsible for conducting quality assurance, compliance, and documentation reviews of provider-led Tailored Care Management records. The Supervisor-External Clinical Quality Analyst role ensures monitoring activities are completed accurately, consistently, and in accordance with organizational standards, regulatory requirements, accreditation standards, and contractual obligations. The Supervisor-External Clinical Quality Analyst provides operational leadership, performance management, workflow oversight, training, and coaching to team members, identifies opportunities for improvement, and collaborates with internal and external stakeholders to ensure successful delivery of provider-led Tailored Care Management services. The Supervisor-External Clinical Quality Analyst does not provide direct patient care, make clinical treatment decisions, or serve as a clinical supervisor for licensed staff.

This position is full-time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office may be required.

Responsibilities & Duties

Team Leadership and Management

• Supervise, coach, and develop a team of licensed clinicians and unlicensed staff performing provider-led Tailored Care Management record reviews
• Establish performance expectations and monitor productivity, quality, and timeliness metrics
• Conduct regular staff meetings, performance evaluations, and individual coaching sessions
• Provide guidance regarding monitoring processes, documentation standards, and departmental procedures
• Foster a culture of accountability, collaboration, continuous improvement, and operational excellence

Audit Operations

• Oversee the planning, execution, and completion of provider-led Tailored Care Management record reviews
• Monitor workflows and staffing assignments to ensure timely completion of deliverables
• Review monitoring findings for consistency, accuracy, and adherence to established audit methodologies
• Ensure monitoring tools, scoring criteria, and reporting processes are applied consistently across the team
• Identify trends, gaps, and opportunities for process improvement based on monitoring results

Quality and Compliance

• Ensure monitoring activities comply with applicable federal and state regulations, accreditation standards, organizational policies, and contractual requirements
• Collaborate with Sr. Director of Network Evaluation and Compliance Committee to address identified issues and corrective actions
• Support preparation for internal and external audits, reviews, and accreditation activities
• Monitor changes in requirements and communicate necessary updates to staff and stakeholders

Stakeholder Collaboration

• Partner and collaborate with other Tailored Plans, NC DHHS, Practice Transformation and Sr. Director of Network Evaluation regarding monitoring activities and quality improvement for providers
• Serve as a subject matter expert on provider-led Tailored Care Management monitoring requirements and standards
• Support provider education and technical assistance related to compliance and quality expectations
• Participate in regulatory reviews, audits, and accreditation activities

Data Analysis & Reporting

• Analyze monitoring data and performance metrics to identify patterns and improvement opportunities
• Prepare and present routine and ad hoc reports for leadership
• Track monitoring outcomes, corrective actions, and performance indicators
• Support organizational quality improvement initiatives through data-driven recommendations

Education & Experience

Required :

Bachelor’s degree from an accredited college or university in public health, healthcare administration, social work, behavioral health, or related field and six (6) years of experience in behavioral health, healthcare quality, compliance, auditing, care management operations, utilization management, or related healthcare with two (2) years of leadership, supervisory, or team lead experience preferred.

Experience interpreting healthcare/behavioral health documentation and regulatory requirements is required.

Preferred :

Master’s degree in healthcare administration, social work, Nursing, Public Health, or related field and four (4) years of experience in care management, quality management, compliance, healthcare operations.

Experience with North Carolina Tailored Plans and behavioral health programs preferred.

Knowledge, Skills, & Abilities

• Demonstrated experience in data analysis, reporting, and regulatory compliance oversight
• Ability to interpret complex datasets and ensure data integrity
• Knowledge of Medicaid Managed Care and Tailored Care Management requirements
• Experience conducting audits, monitoring, or quality reviews
• Strong analytical, organizational, and problem-solving skills
• Precision in reviewing documentation, reports, and compliance metrics. Able to independently organize multiple tasks and priorities, and effectively manage under pressure of deadlines
• Strong ability to build partnerships with internal and external stakeholders. Exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts
• Excellent written and verbal communication for reports, audits, and stakeholder engagement
• Ability to supervise, motivate, train and instruct staff. Problem solving and conflict resolution skills are essential
• Strong understanding of quality assurance and audit methodologies.

Salary Range

$79,425 -$101,267/ Annually

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

An excellent fringe benefit package accompanies the salary, which includes:

• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility

Qualifications

Education

Required

Bachelors or better in Healthcare Administration.

Bachelors or better in Other.

Bachelors or better in Public Health.

Bachelors or better in Social Work.

Preferred

Masters or better in Other.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.