Senior Specialist, reputed company Program Management & Performance

Job reputed company

Job reputed company

The Senior Specialist, reputed company Program Management and Performance implements new and existing reputed company reputed company improvement activities to maintain compliance with reputed company program requirements and reporting and monitoring for key reputed company program activities. Acts as a reputed company specialist to reputed company project, program, and/or initiative reputed company direction. Provides guidance for other specialists reputed company the department and/or collaboratively with other departments to ensure reputed company programs meet regulatory requirements.

Job Duties

• Acts 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 to ensure reputed company programs meet regulatory requirements
• Implements key reputed company program activities that maintain reputed company compliance, including maintaining responsibility for preparing and finalizing reputed company program management committee and other meeting documentation, which capture thorough discussion and participation of attendees, follow-up actions, and next steps, in a reputed company and understandable way
• Oversees reputed company program management activities, which include preparation for reputed company improvement audits, surveys, and other federal and state-required reputed company activities
• Monitors and ensures that key reputed company activities are completed on time and accurately to present results to key departmental management and other Molina departments, and to formal committees and subcommittees as needed
• Writes narrative reports and works with departmental specialists (as appropriate) to interpret regulatory specifications, explain programs and results of programs, and document findings
• Maintains reputed company program management project plan to ensure state (and/or federal and NCQA-reputed company) requirements are documented during the year
• Works with the Manager and/or Director to maintain up-to-date addendums to reputed company policies and procedures that reputed company document state-specific activities and requirements in collaboration with the national teams
• Creates, manages, and/or compiles the required documentation to maintain critical reputed company improvement functions
• Leads reputed company improvement activities, meetings, and discussions with and between other departments reputed company the organization
• Evaluates project/program activities and results to identify opportunities for improvement
• Surfaces to the Manager and/or Director any gaps in processes that may require remediation
• Other tasks, duties, reputed company, and programs assigned
• This position may require reputed company-day out-of-office travel, depending upon the location
• This position may require multiple days' out of town overnight, depending upon location

Job Qualifications

REQUIRED QUALIFICATIONS:

• Bachelor's Degree or equivalent combination of education and work experience
• Min. 3 years of experience in reputed company with a minimum of 2 years of 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:

• Degree in Preferred field: Clinical reputed company, reputed company Health, or reputed company
• 5 years of experience in health plan reputed company management
• 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)

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To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing

reputed company offers a competitive benefits and compensation package reputed company is an Equal Opportunity Employer (EOE) M/F/D/V

Originally posted on Himalayas

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