Top 353 Clinical support specialist Jobs in Mclean Va

Clinical Quality Performance Specialist Senior
Amerihealth Caritas —Washington, DC
- $92,200 - $125,600 a year
- Full-time
- Nursing
- RN License
- 5 years
- Disability insurance
- Health insurance
Mental Health Professional II
Dominion Hospital —Falls Church, VA
- $31.10 - $43.54 an hour
- Full-time
- Hospital
- BLS Certification
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
13d
Mental Health Professional II
Dominion Hospital —Falls Church, VA
- $31.10 - $43.54 an hour
- Full-time
- BLS Certification
- Inpatient
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
13d
Clinical Guidelines Specialist
American College of Radiology —Reston, VA
- $73,400 - $97,900 a year
- Online Application
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Tuition reimbursement
- Paid time off
Clinical Data & Records Specialist - Remote
Providenceinhomecareservice —Gaithersburg, MD
- $23 - $32 an hour
- Overtime
- Remote
- Bilingual
- Google Workspace
- Microsoft Outlook
- Paid time off
- Paid orientation
Quick Apply
3d
Referral Authorization Specialist
Samaritan —Washington, DC
- $21.24 - $28.84 an hour
- Full-time
- Remote
- Heavy lifting
- HIPAA
- Mid-level
Quick Apply
Patient Care Specialist I (Part Time / Monday-Friday / Day Shift)
MedStar Health —Washington, DC
- $18.70 - $32.72 an hour
- Part-time
- English
- High school diploma or GED
- Continuous improvement
Division Clinical Simulations Specialist
Reston Hospital Center —Reston, VA
- $24.87 - $34.83 an hour
- Full-time
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
9d
Clinical Review Specialist
Healthcare Legal Solutions LLC —Washington, DC
- $45 - $50 an hour
- Nursing
- RN License
- Certified Nurse Practitioner
Quick Apply
Health Informatics Specialist
VHC Health —Alexandria, VA
- $87,068.80 - $161,096.00 a year
- Full-time
- Computer Science
- Hospital
- 5 years
- Health insurance
- Dental insurance
EHR Application Support Specialist
iCallidus —Washington, DC
- $87,000 - $118,000 a year
- Full-time
- Remote
- Nursing
- RN License
- PMP
- Disability insurance
- Health insurance
Talent Acquisition Specialist
Ledger Run Inc. —Washington, DC
- $80,000 - $100,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
IT Support Specialist
Howard University —Washington, DC
- $25 - $30 an hour
- Full-time
- Computer Science
- Mid-level
- Windows
- 403(b) matching
- Commuter assistance
Child Life Specialist 1
Inova Health System —Fairfax, VA
- Full-time
- Hospital
- Inpatient
- Bachelor's degree
- Wellness program
- Paid parental leave
Clinical Specialist CRM - Fairfax, VA
Medtronic —Fairfax, VA
- $72,000 - $90,000 a year
- Weekends as needed
- Remote
- Hospital
- Inventory management
- Computer literacy
- Health savings account
- Employee stock purchase plan
5d
Pre-Registration Specialist, Per Diem
Samaritan —Washington, DC
- $21.10 - $26.26 an hour
- Part-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
Quick Apply
Admissions Support Specialist
Dept Behavioral Health/Develop —Fairfax County, VA
- $21 an hour
- Part-time
- Microsoft Excel
- Psychiatry
- Customer service
- Paid holidays
- Health insurance
6d
Vocational Rehab, Intake & Peer Support Specialist
Precision Wellness —Washington, DC
- $35 - $75 an hour
- Part-time
- Hybrid work
- Background check
- Experience working with individuals with disabilities
- HIPAA
- Continuing education credits
- Professional development assistance
Quick Apply
12d
ACT Clinical Support Specialist I
MBI HEALTH SERVICES LLC —Washington, DC
- $50,000 - $55,000 a year
- Master's degree
- Organizational skills
- Experience equivalent to degree accepted
Quick Apply
Community Support Specialist
Community Connections, Inc —Washington, DC
- $40,670 - $59,700 a year
- Mid-level
Quick Apply

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clinical support specialist jobs near mclean va

Clinical Quality Performance Specialist Senior

Amerihealth Caritas -
Washington, DC

Apply Now

Job Details

Full-time
$92,200 - $125,600 a year

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Managed care
RN License
Managed care organization experience
Quality assurance experience within healthcare

Full Job Description

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Role Overview:

The Senior Clinical Quality Performance Specialist is responsible for overseeing, designing, and implementing quality initiatives, identifying root causes, establishing and executing work plans to implement effective interventions. The position is grounded in data analytics skills in order to work collaboratively with providers, members, and internal departments across the organization to conduct ongoing processes that identify opportunities for quality, service, and clinical improvement. Manages activities related to plan accreditation, preventive health improvement, business analysis, and clinical and service quality improvement, including state withholds, Healthcare Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of Healthcare Providers and Systems (CAHPS). Also supports the organization’s quality improvement philosophy and promotes the use of quality improvement (QI) tools in decision-making.

Work Arrangement

Monday through Friday, 8:30 AM to 5:00 PM
Must work 4 out of 5 days a week at our AmeriHealth Caritas DC office located at 1201 Maine Avenue, S.W., Suite 1000, 10th Floor, Washington DC 20024.
Must reside in the DC metro area. Office is in close proximity to two metro stations.

Responsibilities:

Provide key data analysis and critical thinking for the development and assessment of quality improvement project interventions.
Develop reports and analyses, and present findings to the Quality Committee for input and direction.
Support HEDIS and Clinical Practice Guidelines.
Support accreditation activities and clinical quality performance improvement initiatives.
Perform ad-hoc analyses of underperforming processes by collaborating with Subject Matter Experts (SME) and internal stakeholders to define current processes and recommend improvements.
Remove barriers to ensure the successful completion of strategic quality projects.
Conduct analyses and provide summary reports to senior management.
Act as a primary liaison to internal departments requiring collaboration and coordination.
Support the development of new and existing staff by identifying learning and training opportunities.
Serve as a mentor to new hires, ensuring consistency in information and training.

Education & Experience:

Associate’s Degree or equivalent work experience required
Registered Nurse (RN) required
5 years of experience in clinical or service quality improvement required
5 years of experience in managed care required.
Experience working within a managed care plan organization
Experience managing National Committee of Quality Assurance (NCQA) accreditation surveys preferred
Prior experience with project facilitation and/or project management preferred
Knowledge base of HEDIS and how it relates to managed care

Licensure

Active and unencumbered Registered Nurse license in the District of Columbia

Skills & Abilities:

Intermediate or Expert proficiency in Microsoft Excel or other data tool
Knowledge and understanding of quality improvement functions within a Managed Care Organization (MCO) preferred
Excellent written and verbal communication skills
Strong organizational, analytical, and interpersonal skills
Ability to work effectively across all levels of the organization
Ability to design, develop, and implement projects addressing financial, quality, and service improvements

Our Comprehensive Benefits Package

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.

Discover more about us at www.amerihealthcaritas.com.

The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the Washington D.C. area. Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training.

AmeriHealth Caritas associates are eligible to participate in our annual incentive program and will also receive our benefits package, consisting of medical, vision, dental, life insurance, disability insurance, 401(k), paid time off and more.

The targeted hiring range for this role is expected to be between $92,200.00 and $125,600.00

Apply Now

Refine Your Search

clinical support specialist jobs in mclean va

Clinical Quality Performance Specialist Senior

Mental Health Professional II

Mental Health Professional II

Clinical Guidelines Specialist

Clinical Data & Records Specialist - Remote

Referral Authorization Specialist

Patient Care Specialist I (Part Time / Monday-Friday / Day Shift)

Division Clinical Simulations Specialist

Clinical Review Specialist

Health Informatics Specialist

EHR Application Support Specialist

Talent Acquisition Specialist

IT Support Specialist

Child Life Specialist 1

Clinical Specialist CRM - Fairfax, VA

Pre-Registration Specialist, Per Diem

Admissions Support Specialist

Vocational Rehab, Intake & Peer Support Specialist

ACT Clinical Support Specialist I

Community Support Specialist

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