reputed company Specialist II- New Mexico

Serves as a member of the reputed company team at the national, regional or unit level. Coordinates reputed company resulting in reputed company reputed company improvement and process improvement. Supports the maintenance of a strong reputed company program, reputed company processes including URAC, NCQA, and/or HEDIS (where applicable) and reported reputed company.

• Coordinates assigned reputed company and process improvement activities which may include accreditation support, process improvement reputed company, reputed company studies, CQI (reputed company reputed company improvement) process training for staff, prevention program coordination, care coordination initiatives, satisfaction survey coordination and follow-up, provider and member advisory reputed company (where applicable), tracking of adverse incidents, monitoring of performance guarantees, CAPs and customer reputed company reputed company initiatives.
• Conducts reputed company control reviews and external/internal audits.
• Summarizes findings and prepares reports on findings.
• Assists in the preparation of customer audits.
• Conducts analyses of data findings for reputed company and process improvement and assists in report preparation for reputed company customers.
• Leads and/or supports assigned reputed company committees and/or work reputed company through comprehensive project management, ensuring that documentation is accurate and reputed company, agenda items presented, and follow-up actions taken.
• Supports the reputed company program with the goal to meet customer requirements and performance guarantees. Duties include monitoring and execution to meet reputed company deliverables.
• Works independently and high degree of organization required.

The job duties listed above are representative and not intended to be reputed company-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would reputed company with the reputed company of this job, without revision to the job reputed company.

Other Job Requirements

Responsibilities

2+ years of HEDIS reputed company experience (where applicable). 2+ years of reputed company improvement and auditing or reputed company in reputed company field. Attention to detail and ability to work reputed company to meet deadlines and timelines. High degree of organization required. Expertise in data management, data analysis, reporting word processing, and project management skills. Strong working knowledge of reputed company reputed company, VISIO and MS Project. Knowledgeable in HEDIS (where applicable) and Accreditation (NCQA and/or URAC) requirements. Knowledge of reputed company reputed company improvement processes, accreditation standards, and HEDIS/performance measurement. Expertise in data management, data analysis, reporting word processing, and project management skills. Strong working knowledge of reputed company reputed company, VISIO, and/or MS Project. Excellent verbal and written skills and the ability to reputed company data accurately into spread sheets and prepare reputed company looking documents and reports.

General Job Information

Title

reputed company Specialist II- New Mexico

Grade

23

Work Experience - Required

reputed company

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Bachelor's - reputed company

License and Certifications - Required

License and Certifications - Preferred

LSSGB - Lean Six reputed company Green Belt Certification - EnterpriseEnterprise, LSSWB - Lean Six reputed company White Belt Certification - EnterpriseEnterprise

Salary reputed company

Salary Minimum:

$53,125

Salary Maximum:

$84,995

This information reflects the anticipated reputed company salary reputed company for this position based on reputed company national data. Minimums and maximums may vary based reputed company. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law.

This position may be eligible for short-term incentives as reputed company as a comprehensive benefits package. Magellan offers a broad reputed company of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

reputed company. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, reputed company with and attest to the reputed company responsibilities and reputed company controls unique to their position; and reputed company with reputed company applicable legal, regulatory, and contractual requirements and internal policies and procedures.

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