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Both work to improve healthcare quality under CMS oversight, but QIO-like Entities have a narrower geographic or program scope. HealthSkil operates as a CMS-certified QIO-like Entity focused on Pennsylvania's Medicare and Medicaid programs.
No. Many of our team members come from bedside nursing, case management, or utilization review backgrounds. Prior QIO experience is a plus but not required.
Most QIO and Program Integrity roles are fully remote or hybrid, with occasional in-office requirements in Harrisburg, Philadelphia, or Pittsburgh.
Most clinical roles require an active, unrestricted Pennsylvania RN license. Some positions also require certifications like CCM or CPHQ — see individual job postings for details.
Most are full-time, long-term roles tied to our 5-year Pennsylvania state contract running through January 2031.
Typical ranges run $42–$47/hour for RN roles, with full benefits. Individual postings include specific compensation details.