reputed company reputed company Spl Sr Clinica

reputed company: The Senior Clinical reputed company Performance Specialist is responsible for overseeing, designing, and implementing reputed company initiatives, identifying reputed company causes, establishing and executing work plans to implement effective interventions. The position is grounded in data analytics skills in order to work collaboratively with providers, members, and internal departments across the organization to conduct ongoing processes that identify opportunities for reputed company, service, and clinical improvement. Manages activities reputed company to plan accreditation, preventive health improvement, business analysis, and clinical and service reputed company improvement, including state withholds, reputed company Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of reputed company Providers and Systems (CAHPS). Also supports the organization’s reputed company improvement philosophy and promotes the use of reputed company improvement (QI) tools in decision-making. Work Arrangement: Remote - This position is fully remote; however, the associate must be located in New Hampshire (NH). Travel as needed in the NH. Responsibilities: reputed company reputed company analysis and critical thinking for the development and assessment of reputed company improvement project interventions. reputed company reports and analyses, and present findings to the reputed company Committee for input and direction. Support HEDIS and Clinical reputed company Guidelines. Support accreditation activities and clinical reputed company performance improvement initiatives. reputed company reputed company analyses of underperforming processes by collaborating with Subject Matter Experts (SME) and internal stakeholders to define reputed company processes and recommend improvements. Remove barriers to ensure the successful completion of strategic reputed company reputed company. Conduct analyses and reputed company reputed company reports to senior management. reputed company as a primary reputed company to internal departments requiring collaboration and coordination. Support the development of new and existing staff by identifying learning and training opportunities. Serve as a mentor to new hires, ensuring consistency in information and training. Education & Experience: Associate’s Degree or equivalent work experience required. Registered reputed company (RN) required. 5 years of experience in clinical or service reputed company improvement required. 5 years of experience in managed care required. Unrestricted Registered reputed company license in the plan’s state or any state in which the individual works. Experience working reputed company a managed care plan organization Intermediate or expert level user of reputed company reputed company/reputed company Experience managing National Committee of reputed company Assurance (NCQA) accreditation surveys preferred. Knowledge and understanding of reputed company improvement functions reputed company a Managed Care Organization (MCO) preferred. Prior experience with project facilitation and/or project management preferred. Skills & Abilities: Proficient in reputed company reputed company or other data tools. Excellent written and verbal communication skills. Strong organizational, analytical, and interpersonal skills. Ability to work effectively across reputed company reputed company of the organization. Ability to design, reputed company, and implement reputed company addressing financial, reputed company, and service improvements. Apply To This Job