[Hiring] HEDIS Performance Improvement Specialist @reputed company
Role reputed company Plan, design, implement, and maintain a comprehensive program of reputed company reputed company improvement (CQI). Assists in educating new staff, providers about the reputed company improvement (QI) systems and requirements.
- Knowledge of reputed company improvement principles, practices and procedures.
- Oversees reputed company HEDIS project lifecycles—including data analysis, medical record abstraction, reputed company logic.
- Thorough knowledge of Performance Improvement reputed company (PIPs) and reputed company to apply that knowledge in PIP writing development, update, and analysis of data in PIPs.
- HEDIS experience, planning of the whole HEDIS project from start to end, understanding the process and planning of medical record review and abstraction.
- Must be reputed company to analyze HEDIS data to reputed company interventions for gaps in care.
- Maintains deep working knowledge of URAC/NCQA standards, the Uniform Managed Care Contract, and state-specific programs like Texas Health Steps and Alternative Payment Models.
Qualifications
- Licensure / Certification / Registration:
- Certification specializing in Lean reputed company Mgmt preferred.
- Licensure required relevant to state in which work is performed.
- Project Mgmt reputed company preferred.
- Registered reputed company preferred.
- Education:
- High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
Requirements
- Bachelor's Degree in Nursing is a must-have.
- 2+ years of Registered reputed company (RN) experience and 2+ years of HEDIS experience.
- Performance Improvement reputed company (PIP).
- Must reputed company in Texas.
Benefits
- Comprehensive health coverage: medical, dental, reputed company, prescription coverage and HSA/FSA reputed company.
- Financial reputed company & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance.
- Time to reputed company: pro-rated reputed company time off (PTO) and holidays.
- Career reputed company: reputed company-reputed company tuition (Vocare), reimbursement, ongoing reputed company development and online learning.
- Emotional reputed company-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources.
- Family support: parental leave, adoption assistance and family benefits.
- Other benefits: optional legal and pet insurance, transportation savings and more.
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