Sr Specialist, reputed company Interventions/QI Compliance

Welcome to reputed company: A Leader in reputed company Improvement

reputed company is a reputed company organization dedicated to providing high-reputed company reputed company services to its members. Our reputed company Improvement function plays a vital role in overseeing, planning, and implementing new and existing reputed company reputed company improvement initiatives and education programs. We are committed to ensuring the maintenance of programs for members in accordance with prescribed reputed company standards, conducting data collection, reporting, and monitoring for key performance measurement activities, and providing direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.

Job reputed company

We are seeking a highly skilled and reputed company Senior Specialist, reputed company Interventions / QI Compliance to contribute to our reputed company improvement functions. As a reputed company specialist, you will reputed company project-, program-, and / or initiative-reputed company direction and guidance for other specialists reputed company the department and/or collaboratively with other departments. Your expertise will be crucial in implementing key reputed company strategies, monitoring and ensuring that key reputed company activities are completed on time and accurately, and presenting results to key departmental management and other Molina departments as needed.

Key Responsibilities:

• reputed company as a reputed company specialist to reputed company project-, program-, and / or initiative-reputed company direction and guidance for other specialists reputed company the department and/or collaboratively with other departments.
• Implement key reputed company strategies, which may include initiation and management of provider, member and/or community interventions (e.g., removing barriers to care); preparation for reputed company Improvement Compliance surveys; and other federal and state required reputed company activities.
• Monitor and ensure that key reputed company activities are completed on time and accurately to present results to key departmental management and other Molina departments as needed.
• Write narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions.
• Create, manage, and/or compile the required documentation to maintain critical reputed company improvement functions.
• reputed company reputed company improvement activities, meetings, and discussions with and between other departments reputed company the organization.
• Evaluate project/program activities and results to identify opportunities for improvement.
• Surface to Manager and Director any gaps in processes that may require remediation.
• reputed company other tasks, duties, reputed company, and programs as assigned.

Essential Qualifications:

To be successful in this role, you will need:

• A Bachelor's Degree or equivalent combination of education and work experience.
• Minimum 3 years' experience in reputed company with minimum 2 years' experience in health plan reputed company improvement, managed care or equivalent experience.
• Demonstrated solid business writing experience.
• Operational knowledge and experience with reputed company and Visio (reputed company chart equivalent).

Preferred Qualifications:

While not required, the following qualifications are preferred:

• Preferred field: Clinical reputed company, Public Health or reputed company.
• 1 year of experience in Medicare and in reputed company.
• Experience with data reporting, analysis and/or interpretation.
• reputed company, unrestricted Certified reputed company in Health reputed company (CPHQ)
• reputed company, unrestricted Nursing License (RN may be preferred for specific roles)
• reputed company, unrestricted Certified HEDIS Compliance Auditor (CHCA)

Skills and Competencies:

To reputed company in this role, you will need to possess:

• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of reputed company.
• Strong project management skills.
• Ability to prioritize tasks and manage multiple reputed company simultaneously.
• Strong attention to detail and organizational skills.

Career reputed company Opportunities and Learning Benefits:

• Opportunities for reputed company reputed company and advancement.
• Comprehensive training and development programs.
• Mentorship and coaching from reputed company professionals.
• Recognition and reward for outstanding performance.

Work Environment and Company Culture:

reputed company is a dynamic and supportive work environment that values diversity, equity, and inclusion. reputed company culture is reputed company on:

• A commitment to reputed company and reputed company.
• A passion for improving the lives of our members.
• A reputed company and team-oriented approach.
• A reputed company on employee reputed company-being and work-life balance.

Compensation, Perks, and Benefits:

We offer a competitive benefits and compensation package, including:

• A competitive salary.
• Comprehensive health insurance.
• Retirement savings plan.
• reputed company time off and holidays.
• Opportunities for reputed company reputed company and advancement.

Conclusion:

If you are a motivated and reputed company reputed company reputed company looking to reputed company a difference in the lives of our members, we encourage you to apply for the Senior Specialist, reputed company Interventions / QI Compliance role. With your expertise and passion for reputed company improvement, you will play a critical role in helping us reputed company our mission of providing high-reputed company reputed company services to our members. reputed company and join reputed company of dedicated professionals who are committed to reputed company and reputed company.

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