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The Senior Quality Consultant leads quality improvement initiatives within healthcare, ensuring compliance with regulatory standards and enhancing clinical outcomes. Responsibilities include monitoring accreditation processes, managing quality programs, analyzing data for insights, and collaborating with various stakeholders to advance healthcare quality.

As a Business System Analyst in Risk Management, you will analyze data submissions for claims and compliance with CMS guidelines, collaborating with various partners and maintaining process documentation.

The Appeals Clinician I conducts clinical appeal reviews, applying nursing expertise to ensure compliance with policies and guidelines while consulting with physician advisers. The role also involves educating non-clinical staff about clinical cases.