We are hiring a Supervisor for Clinical Quality Assurance here at BCBST to lead a high-performing ... Note: * While this is a remote position, preference will be given to candidates located in ...
We are hiring a Supervisor for Clinical Quality Assurance here at BCBST to lead a high-performing ... Note: * While this is a remote position, preference will be given to candidates located in ...
RN Appeals Analyst
Nashville, TN · Remote
... fully remote. What You'll Do: * Documents the basis of the appeal or retrospective review in an ... Knowledge of the National Committee for Quality Assurance (NCAG). * Knowledge of Utilization Review ...
RN Appeals Analyst
Nashville, TN · Remote
... fully remote. What You'll Do: * Documents the basis of the appeal or retrospective review in an ... Knowledge of the National Committee for Quality Assurance (NCAG). * Knowledge of Utilization Review ...
Clinical Trial Liaison
Nashville, TN · On-site +1
Maintain advanced understanding of local treatment paradigms and standard of care to influence strategic country/site selection and protocol localization * Provide oversight and quality assurance for ...
Clinical Trial Liaison
Nashville, TN · On-site +1
Maintain advanced understanding of local treatment paradigms and standard of care to influence strategic country/site selection and protocol localization * Provide oversight and quality assurance for ...
Senior Associate Chemist (Environmental Consulting, Seller-Doer)
Knoxville, TN · On-site +1
$120K - $150K/yr
... remote. This position supports senior chemistry leadership on environmental investigations ... Supporting quality reviews of laboratory data, method summaries, and QA documentation.
Senior Associate Chemist (Environmental Consulting, Seller-Doer)
Knoxville, TN · On-site +1
$120K - $150K/yr
... remote. This position supports senior chemistry leadership on environmental investigations ... Supporting quality reviews of laboratory data, method summaries, and QA documentation.
We are hiring a Supervisor for Clinical Quality Assurance here at BCBST to lead a high-performing ... Note: * While this is a remote position, preference will be given to candidates located in ...
We are hiring a Supervisor for Clinical Quality Assurance here at BCBST to lead a high-performing ... Note: * While this is a remote position, preference will be given to candidates located in ...
Reproduction Services Manager (Remote - USA)
Hendersonville, TN · Remote
$108K - $125K/yr
We are looking for a Reproduction Services Manager (Remote - USA) to provide high quality services ... quality control, and quality assurance systems. The successful candidate is able work in a ...
Reproduction Services Manager (Remote - USA)
Hendersonville, TN · Remote
$108K - $125K/yr
We are looking for a Reproduction Services Manager (Remote - USA) to provide high quality services ... quality control, and quality assurance systems. The successful candidate is able work in a ...
Reproduction Services Manager (Remote - USA)
Hendersonville, TN · On-site +1
$108K - $125K/yr
We are looking for a Reproduction Services Manager (Remote - USA) to provide high quality services ... quality control, and quality assurance systems. The successful candidate is able work in a ...
Reproduction Services Manager (Remote - USA)
Hendersonville, TN · On-site +1
$108K - $125K/yr
We are looking for a Reproduction Services Manager (Remote - USA) to provide high quality services ... quality control, and quality assurance systems. The successful candidate is able work in a ...
Physician (Tennessee)
Nashville, TN · On-site +1
$200/hr
Oversee the quality assurance of remote monitoring processes, identifying opportunities for improvement and implementing best practices. Telemedicine Consultations: * Conduct telemedicine ...
Physician (Tennessee)
Nashville, TN · On-site +1
$200/hr
Oversee the quality assurance of remote monitoring processes, identifying opportunities for improvement and implementing best practices. Telemedicine Consultations: * Conduct telemedicine ...
... QA, operations, security, data) Strong understanding of: Agile and lean principles Product ... Hybrid or remote (as applicable) Reporting To: IT / Product Transformation Leadership
Quick apply
... QA, operations, security, data) Strong understanding of: Agile and lean principles Product ... Hybrid or remote (as applicable) Reporting To: IT / Product Transformation Leadership
... remote work arrangement. Position Summary: We are seeking an experienced Procedure Writer with a ... Maintain configuration control and document management within established quality assurance ...
... remote work arrangement. Position Summary: We are seeking an experienced Procedure Writer with a ... Maintain configuration control and document management within established quality assurance ...
Physician (Tennessee)
Nashville, TN · Remote
$200/hr
Oversee the quality assurance of remote monitoring processes, identifying opportunities for improvement and implementing best practices. Telemedicine Consultations: * Conduct telemedicine ...
Physician (Tennessee)
Nashville, TN · Remote
$200/hr
Oversee the quality assurance of remote monitoring processes, identifying opportunities for improvement and implementing best practices. Telemedicine Consultations: * Conduct telemedicine ...
ZME Remote Pilot Operator
Memphis, TN · Remote
Public Trust Potential for Remote Work: ORA_ON_SITE Description * PLEASE NOTE: This is NOT a UAS ... Experience working in a multidisciplinary team (Multimedia Developers, Quality Assurance ...
ZME Remote Pilot Operator
Memphis, TN · Remote
Public Trust Potential for Remote Work: ORA_ON_SITE Description * PLEASE NOTE: This is NOT a UAS ... Experience working in a multidisciplinary team (Multimedia Developers, Quality Assurance ...
Dementia Program Coordinator - Remote
Knoxville, TN · Remote
$52K - $62K/yr
Remote (U.S.-based) Employment Type: Full-time (40 hours/week, hourly) Compensation: Salaried $52 ... Prior experience in logistics, quality assurance, or operations management. Who we are looking for:
Dementia Program Coordinator - Remote
Knoxville, TN · Remote
$52K - $62K/yr
Remote (U.S.-based) Employment Type: Full-time (40 hours/week, hourly) Compensation: Salaried $52 ... Prior experience in logistics, quality assurance, or operations management. Who we are looking for:
Scheduler
Brentwood, TN · Remote
$17.75 - $23/hr
The Remote Scheduler may work within the following timezones: Central (CST) - 7:30a-5p CST Mountain ... by Quality Assurance (QA) scoring, and First Call Resolution (FCR). * Safeguards patient ...
Scheduler
Brentwood, TN · Remote
$17.75 - $23/hr
The Remote Scheduler may work within the following timezones: Central (CST) - 7:30a-5p CST Mountain ... by Quality Assurance (QA) scoring, and First Call Resolution (FCR). * Safeguards patient ...
Senior Mechanical Engineer, Remote Handling and Full Scale Integration
Oak Ridge, TN · On-site +1
$99K - $137K/yr
Coordinate test readiness reviews with QA and Systems Engineering * Implement design updates based ... Develop remote handling hardware enabling efficient component repair and replacement * Lead hands ...
Senior Mechanical Engineer, Remote Handling and Full Scale Integration
Oak Ridge, TN · On-site +1
$99K - $137K/yr
Coordinate test readiness reviews with QA and Systems Engineering * Implement design updates based ... Develop remote handling hardware enabling efficient component repair and replacement * Lead hands ...
HCC Risk Adjustment Coder
Franklin, TN · Remote
$18 - $24/hr
HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required ... quality assurance activities. The HCC Coder will collaborate with providers, CDI professionals ...
HCC Risk Adjustment Coder
Franklin, TN · Remote
$18 - $24/hr
HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required ... quality assurance activities. The HCC Coder will collaborate with providers, CDI professionals ...
LPN - 100% Remote
Nashville, TN · Remote
$24 - $29/hr
Clinical Quality Assurance Nurse (RN or LPN) Schedule: 3 different openings * M-F 11:30am - 8pm EST ... remote position. Application Deadline This position is anticipated to close on Jul 6, 2026. About ...
New
LPN - 100% Remote
Nashville, TN · Remote
$24 - $29/hr
Clinical Quality Assurance Nurse (RN or LPN) Schedule: 3 different openings * M-F 11:30am - 8pm EST ... remote position. Application Deadline This position is anticipated to close on Jul 6, 2026. About ...
New
ZME Remote Pilot Operator
Memphis, TN · On-site +1
We are looking for a Full-time, Remote Pilot Operator (RPO) candidates to join the SAIC Controller ... Experience working in a multidisciplinary team (Multimedia Developers, Quality Assurance ...
ZME Remote Pilot Operator
Memphis, TN · On-site +1
We are looking for a Full-time, Remote Pilot Operator (RPO) candidates to join the SAIC Controller ... Experience working in a multidisciplinary team (Multimedia Developers, Quality Assurance ...
ZME Remote Pilot Operator
Memphis, TN · Remote
We are looking for a Full-time, Remote Pilot Operator (RPO) candidates to join the SAIC Controller ... Experience working in a multidisciplinary team (Multimedia Developers, Quality Assurance ...
ZME Remote Pilot Operator
Memphis, TN · Remote
We are looking for a Full-time, Remote Pilot Operator (RPO) candidates to join the SAIC Controller ... Experience working in a multidisciplinary team (Multimedia Developers, Quality Assurance ...
Senior Mechanical Engineer, Remote Handling and Full Scale Integration
Oak Ridge, TN · Remote
$99K - $131K/yr
Coordinate test readiness reviews with QA and Systems Engineering * Implement design updates based ... Develop remote handling hardware enabling efficient component repair and replacement * Lead hands ...
Senior Mechanical Engineer, Remote Handling and Full Scale Integration
Oak Ridge, TN · Remote
$99K - $131K/yr
Coordinate test readiness reviews with QA and Systems Engineering * Implement design updates based ... Develop remote handling hardware enabling efficient component repair and replacement * Lead hands ...
Remote Localization Qa information
What is the difference between Remote Localization Qa vs Remote Localization Tester?
| Aspect | Remote Localization Qa | Remote Localization Tester |
|---|---|---|
| Primary Focus | Quality assurance of localized content, ensuring linguistic and cultural accuracy | Testing localized software or products for functionality and bugs |
| Skills & Certifications | Localization knowledge, QA methodologies, language proficiency | Software testing, bug tracking, basic localization understanding |
| Work Environment | Remote, often collaborating with localization and QA teams | Remote, working closely with development and localization teams |
Remote Localization Qa focuses on verifying the quality and accuracy of localized content, ensuring it meets linguistic and cultural standards. In contrast, Remote Localization Tester primarily tests localized software or products for technical issues and bugs. Both roles require QA skills, but Remote Localization Qa emphasizes language and cultural accuracy, while Remote Localization Tester emphasizes technical functionality.
- Remote Verizon Quality Assurance
- Virtual Remote Pharmaceutical Quality Assurance
- Remote Fedex Quality Assurance
- Remote Supplier Quality Assurance
- Linguistic Quality Assurance Tester
- Remote Marriott Quality Assurance
- Remote Teen Product Tester
- Flex Schedule Remote Quality Assurance
- Insurance Quality Assurance Remote
- Remote Sqa
Supervisor, Clinical Quallity Assurance
Chattanooga, TN • On-site, Remote
Full-time
This job post has expired 1 day ago. Applications are no longer accepted.
Job description
In this role, you will guide clinical reviews of medical records, partnering with provider offices to enhance documentation, strengthen patient education, and close gaps in care. Reviews include EPSDT reviews for Medicaid, as well as comprehensive medical record reviews for all lines of business and office site visits for newly credentialed providers. Your team will also play a key role in the annual HEDIS project through hybrid medical record reviews and supplemental data analysis. This is an opportunity to drive meaningful improvements in care quality by collaborating across teams to ensure our members receive the highest standards of service.
The ideal candidate demonstrates strong leadership capability, excellent teaching and communication, effectively managing competing priorities, and delivering measurable results that advance organizational goals. Success in this role requires accountability for project outcomes and data quality, strong analytical and problem-solving skills, the ability to influence and collaborate across teams, and a commitment to building team capability while fostering a culture of continuous improvement and willingness to adapt to evolving roles and processes.
If you are an RN with experience in clinical leadership and a passion for quality improvement, we encourage you to apply and make a lasting impact on healthcare in Tennessee.
Note:
- While this is a remote position, preference will be given to candidates located in Tennessee or a contiguous county.
- Sponsorship is not available for this role.
- We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work - guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members.
Job Responsibilities
- Maintaining and disseminating documentation and reports pertaining to quality and compliance issues, procedures, processes and methodologies.
- Running database queries and applying logic to analyze complex issues, data, and performance measures.
- Providing coordination and leadership of staff to ensure corporate compliance with accreditation and regulatory standards; lead HEDIS team throughout annual project to meet organizational expected outcomes.
- Staying abreast of changes in accreditation and regulatory requirements for the various areas of the enterprise and takes appropriate action to address these changes.
Job Qualifications
Education
- Bachelors Degree in a Health Related Discipline (Nursing, Dietetics, Exercise Science, Counseling, Social work, or Health Education)
Experience
- 2 years - Supervisory experience required
- 5 years - Clinical nursing experience required
- 2 years - Project management experience with demonstrated skills and successes
Skills/Certifications
- Certification as a Professional in Healthcare Quality, HIAA, or equivalent certification
License
- Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.
N/a
Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
About BlueCross BlueShield of Tennessee
Sourced by ZipRecruiter
Industry
Insurance services
Company size
5,001 - 10,000 Employees
Headquarters location
Chattanooga, TN, US
Year founded
1945