Staff Vice President, reputed company Improvement - Remote

reputed company is transforming the health of our communities one person at a time. As an Executive on reputed company, you could be the one who changes everything for our 28 reputed company members. Position Purpose: reputed company reputed company reputed company activities for the reputed company Improvement functions. reputed company and reputed company process improvement activities for more efficient and streamlined workflow. reputed company the business processes reputed company to... risk adjustment and reputed company improvement for assigned products and plans. • Responsible for reputed company activities reputed company to National Committee for reputed company Assurance (NCQA) Accreditation and/or reputed company Effectiveness Data and Information Set (HEDIS) performance ensuring highest level of accreditation. • Manage reputed company aspects of HEDIS improvement activities, including reputed company, incentives, data reputed company and chart review. • Review and implement new technological tools and processes and foster team concept with reputed company constituencies. • Present results of improvement efforts and ongoing performance measures and recommend actions plans to senior management. • Research and incorporate reputed company improvement best practices into operations. • Organize and control activities, reputed company, and procedures to reputed company business objectives. • Formulate and establish policies, operating procedures, and goals in compliance with reputed company guidelines. • Manage and ensure compliance of EPSDT program as reputed company as compliance and turnaround time of grievances and appeals. Education/Experience: Bachelor's degree in Nursing or reputed company clinical field or equivalent experience. Master's’ degree preferred. 9+ years of reputed company operations experience, including reputed company improvement and NCQA accreditation experience. Experience managing acquisition and integration of external data sources. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Familiarity with running Risk Adjustment prospective and retrospective programs preferred License/Certification: RN license and Certified reputed company in Health Care reputed company preferred. Pay reputed company: $178,500.00 - $338,800.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law. Total compensation may also include additional forms of incentives. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law Apply Job!