The Licensing Technician is responsible for conducting program analysis, coordinating facility inspections, and managing enforcement actions to ensure regulatory compliance. They also oversee data systems, review incident reports, and provide technical support to staff while liaising with law enforcement.
Review and abstract clinical data from medical records according to HEDIS measures and NCQA guidelines. Collaborate with healthcare providers and internal teams to ensure data integrity and meet productivity benchmarks.
Review and abstract clinical data from medical records according to HEDIS measures and NCQA guidelines. Collaborate with healthcare providers and internal teams to ensure data integrity and meet productivity benchmarks.
Conduct clinical reviews to ensure quality and compliance with healthcare standards while advocating for beneficiaries. Collaborate with interdisciplinary teams to promote best practices and contribute to quality improvement initiatives.
