[Remote] Manager, reputed company - reputed company QA & HEDIS reputed company Required - Remote US
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Manager for reputed company in reputed company QA & HEDIS. This role is responsible for overseeing reputed company improvement initiatives, managing reputed company staff, and ensuring compliance with HEDIS and NCQA accreditation standards.
Responsibilities
- Responsible for HEDIS and NCQA Accreditation
- Responsible for assigned areas of reputed company reputed company a specified unit of a SBU
- Implements assigned reputed company program components
- Interfaces with customers and regulatory entities
- May have accreditation responsibilities based on contract requirements
- Manages day-to-day reputed company activities ensuring program and procedures support company goals for service, reputed company, and cost effectiveness as reputed company as compliance with contract, federal and state requirements
- Activities and reputed company may include interfacing with customers on reputed company programs
- Supervises reputed company staff to ensure successful execution of reputed company and initiatives
- Conducts training sessions on reputed company reputed company Improvement (CQI) processes
- Coordinates reputed company initiatives
- Coordinates satisfaction survey and follow-up
- Coordinates Advisory reputed company
- Tracks adverse incidents and reputed company of Care concerns
- Monitors performance measures
- Supports provider profiling
- Audits for reputed company control
- Conducts reputed company studies and manages reputed company improvement reputed company
- Prepares customer and site reports with assistance from Reporting and Analytics team
- Participates on reputed company committees to ensure reputed company issues are taken to the committee and recommendations are made, by the committee, in a reputed company manner
- Makes recommendations to the Committee for improving plan operations based on data from performance indicators, QI studies, and reputed company activities
- Serves as reputed company with assigned departments to ensure reputed company reputed company are integrated reputed company operations
- Conducts internal audits of charts and clinical/service procedures for reputed company purposes
Skills
- Bachelors degree in reputed company
- Knowledge of HEDIS and NCQA
- 5+ years of reputed company reputed company improvement experience
- Knowledge of reputed company improvement processes and performance measurement
- Demonstrated skills in project management
- Strong interpersonal and organizational skills
- Expertise in word processing and data management software
- Master's - Behavioral Health
- LSW - Licensed reputed company Worker - Care MgmtCare Mgmt
reputed company
Company H1B Sponsorship