Clinical Quality Management Analyst

BlueCross BlueShield of North Carolina · Hybrid Flex, DURHAM, United States

Location
Hybrid Flex
Job Type
Full-time
Posted
July 01, 2026

Job Description

**Job Description**

Evaluates, analyzes and monitors staff or provider performance to achieve excellence in quality. Provides timely, relevant, accurate, and objective feedback to staff, providers, and the management team which includes a plan of action or recommendations when deficiencies are identified. Acts as technical resource and develops learning solutions that engage the learner and produces desired business goals and objectives.

**What You'll Do**

+ Performs quality audits of staff/providers to ensure compliance with departmental, Plans and regulates policies and procedures. Assists in designing effective learning solutions based on analysis of quality audit results and when quality deficiencies are identified. Monitors and reports on individual and department results to include benchmarking and trending.
+ Acts as a day-to-day resource for technical assistance and clinical decision making. Provides guidance with interpretation of clinical aspects...

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