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Clinical Quality Review Specialist II - Provider Network

Job in Raleigh, Wake County, North Carolina, 27601, USA
Listing for: Alliance Health
Full Time position
Listed on 2026-02-09
Job specializations:
  • Healthcare
    Healthcare Management
Job Description & How to Apply Below
A leading healthcare organization in North Carolina is seeking a Provider Network Evaluator II to perform Clinical Quality Reviews and Oversight Reviews of service providers. This role requires a Master's degree in a Human Services field and a minimum of three years of relevant experience. Candidates must have an active NC license as an LCSW, LCAS, LCMHC, LPA, or LMFT.

Responsibilities include identifying compliance issues and providing technical assistance, with mandatory travel required for on-site reviews.
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