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Telligen

Clinical Quality and Compliance Coordinator Maryland UM

Maryland · Hybrid · Full-Time · State Health Solutions

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About the role

ComplianceQuality Assurance
As the Clinical Quality and Compliance Coordinator, you will be responsible for coordinating quality assurance (QA), quality improvement (QI), accreditation, regulatory compliance, and credentialing activities across clinical programs, including Utilization Management (UM), Case Management (CM), and Disease Management (DM). You will provide hands-on support for audit activities, quality improvement initiatives, accreditation readiness, state regulatory filings, credentialing processes, and staff education.  You will assist with the development and execution of audit tools and education materials under direction and supports tracking, documentation, and monitoring activities to ensure compliance with URAC, NCQA, state regulatory, and contractual requirements. Telligen will consider candidates living in Iowa or Maryland. Telligen will consider internal candidates in other states.