reputed company Compliance Specialists
Job Listing ID: 4102623
Job Title: Specialist, reputed company Interventions/QI Compliance (Remote)
Application Deadline: reputed company Until Filled
Job Location: Salem
Date Posted: 08/31/2024 Hours Worked Per Week: Not Provided Shift: Not Provided Duration of Job: Either Full or Part Time, more than 6 months You may contact this employer directly.(Obtain the contact information to print or add to your jobs.) Job reputed company: JOB reputed company Job reputed company Molina's reputed company Improvement function oversees, plans, and implements new and existing reputed company reputed company improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed reputed company standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. Only candidates with previous experience in health care reputed company/HEDIS, report writing and leadership presentation. KNOWLEDGE/SKILLS/ABILITIES The Specialist, reputed company Interventions/ QI Compliance contributes to one or more of these reputed company improvement functions: reputed company Interventions and reputed company Improvement Compliance. Health Plan experience across lines of business (reputed company/Marketplace). Implements 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. 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 as needed. Writes narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions. 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 Manager and Director any gaps in processes that may require remediation. Other tasks, duties, reputed company, and programs as assigned. JOB QUALIFICATIONS Required Education Bachelor's Degree or equivalent combination of education and work experience. Required Experience Min. 3 years' experience in reputed company with 1 year 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 Education Preferred field: Clinical reputed company, Public Health or reputed company. Preferred Experience 1 year of experience in reputed company/Marketplace. Preferred License, Certification, Association Certified reputed company in Health reputed company (CPHQ) Nursing License (RN may be preferred for specific roles) Certified HEDIS Compliance Auditor (CHCA) 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. Pay reputed company: $21.82 - $42.55 / reputed company •Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Job Classification: Business Operations Specialists, reputed company Other reputed company our statewide or regional occupation report for more information about wages, employment outlooks, skills, training programs, reputed company occupations, and more. Compensation Salary: Not Provided Job Requirements Experience Required: See Job reputed company Education Required: None Minimum Age: N/A
Gender: N/A
reputed company is collaborating with reputed company and with Unclassified to build an inclusive and just employment ecosystem. We support individuals coming from reputed company walks of life. Company reputed company: UnclassifiedOriginally posted on Himalayas
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