Clinical Quality Assurance Analyst

Now hiring for a Clinical Quality Assurance Analyst
Location: Nashville, TN
Pay Rate: $32.00 – $35.00 per hour
Schedule: M-F 9a-5p

Join the team. Be valued.
Pros wanted. This is your kind of job.

Looking for Clinical Quality Assurance Analyst jobs in Nashville where your skills can make a real impact? This opportunity offers the chance to contribute to a growing team, develop your experience, and build a rewarding career in a professional work environment.

• Conduct clinical chart reviews, audits, and clinical data validation to ensure accuracy and compliance.
• Monitor quality metrics and maintain reporting tools that support healthcare quality initiatives.
• Analyze audit findings and prepare reports for leadership and key stakeholders.
• Support company-wide quality improvement programs and clinical auditing processes.
• Ensure compliance with contractual, state, federal, and healthcare quality standards.
• Assist with clinical product implementation, project timelines, and process improvement initiatives.
• Develop and deliver training programs for clinical review and auditing personnel.
• Collaborate with cross-functional teams to support quality management services and client relationships.
• Research industry trends, competitive benchmarks, and healthcare quality opportunities.
• Recommend process improvements and document procedural enhancements.
• Maintain compliance with HIPAA regulations and company policies.

• Bachelor’s degree preferred; equivalent healthcare, clinical, or auditing experience will be considered.
• Relevant coding certifications, healthcare auditing credentials, or quality management experience are a plus.
• Strong computer proficiency, including Microsoft Excel (sorting, filtering, and data analysis).

• Minimum 5 years of clinical healthcare experience, nursing experience, or hands-on healthcare auditing experience.
• At least 4 years of healthcare quality improvement, health plan, or managed care experience.
• Knowledge of Medicare, Medicaid, commercial insurance, and healthcare compliance standards.
• Strong analytical, organizational, communication, and problem‑solving skills.
• Ability to work independently, manage multiple priorities, and learn new systems in a remote environment.
• Experience with clinical chart reviews, clinical data auditing, quality reporting, and process improvement preferred.

• Ability to work remotely and remain productive in a home‑office environment.
• Extensive computer use, including reviewing clinical records, reports, and audit documentation.
• Ability to attend virtual meetings and collaborate with cross‑functional teams.
• Must maintain HIPAA compliance and confidentiality when handling sensitive healthcare information.

Benefits

• Competitive Weekly Pay
• Comprehensive Benefits including medical, dental, and vision coverage.
• Life Insurance and Disability Insurance for added peace of mind.
• Optional 401(k) Plan to help you prepare for the future.
• Opportunities for Growth through a variety of assignments with leading employers.

What You Will Do

As a Clinical Quality Assurance Analyst you will perform responsibilities that support the daily operations of your assigned employer while following established procedures, quality standards, and workplace safety requirements. Duties may include operating equipment, working with customers, handling materials, preparing documentation, supporting administrative activities, using technology, collaborating with team members, or completing other responsibilities appropriate to the position. Successful Clinical Quality Assurance Analyst professionals demonstrate adaptability, professionalism, attention to detail, and a commitment to producing quality work while contributing to organizational…