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Clinical Quality and Regulatory Specialist
Job in
Florida City, Miami-Dade County, Florida, 33003, USA
Listed on 2026-02-14
Listing for:
Highmark Health
Full Time
position Listed on 2026-02-14
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Administration
Job Description & How to Apply Below
Employer Industry: Healthcare Services Why consider this job opportunity:
- Salary up to $91,200
- Opportunity for career advancement and growth within the organization
- Engaging work environment focused on clinical quality and regulatory compliance
- Involvement in meaningful projects that impact healthcare delivery
- Chance to collaborate with various departments and enhance communication skills
- Supportive team culture emphasizing professional development
- Manage and coordinate department activities to ensure compliance with regulatory standards
- Conduct audits and monitor staff activities to ensure adherence to policies and procedures
- Prepare comprehensive reports and responses to inquiries from regulatory agencies
- Develop and implement corrective action plans in collaboration with management
- Facilitate educational meetings for internal and external stakeholders
- Current license in one or more of the following disciplines: LCSW, LSW, LPC, or related clinical license; OR Current State of PA RN licensure; OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)
- 3-5 years of experience in case management/managed care with knowledge of quality monitoring and regulatory processes
- 2 years of experience with quality measurement systems
- 1 year of experience evaluating, implementing, or revising work processes
- Strong analytical and organizational skills
- Bachelor’s degree
- 3 or more years of experience in auditing/monitoring functions
- 3 or more years of experience creating training documents and educational materials
- 3 years of experience with Microsoft Office products
- Quality Management System certification
#Healthcare Services #Regulatory Compliance #Quality Management #Career Opportunity #Professional Development
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