Sentara Health is seeking a Remote Quality Improvement Specialist to review behavioral health claims for medical necessity, ensuring compliance and accurate reimbursement. The role collaborates with providers, clinical teams, and compliance to maintain regulatory standards.
Ideal candidates have 2+ years in Medicaid/Managed Care and 2+ years in Quality Improvement, with a Bachelor’s in health administration or related field; RN or LMHP preferred. This is a remote role with national scope.
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This position is listed as full time and able to be worked remotely.