×
Register Here to Apply for Jobs or Post Jobs. X

Clinical Quality and Regulatory Specialist

Job in Florida City, Miami-Dade County, Florida, 33003, USA
Listing for: Highmark Health
Full Time position
Listed on 2026-02-14
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 91200 USD Yearly USD 91200.00 YEAR
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
What to Expect (Job Responsibilities):
  • 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
What is Required (Qualifications):
  • 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
How to Stand Out (Preferred Qualifications):
  • 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

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.

We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

#J-18808-Ljbffr
To View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
 
 
 
Search for further Jobs Here:
(Try combinations for better Results! Or enter less keywords for broader Results)
Location
Increase/decrease your Search Radius (miles)

Job Posting Language
Employment Category
Education (minimum level)
Filters
Education Level
Experience Level (years)
Posted in last:
Salary