reputed company reputed company Specialist - HEDIS, NCQA

reputed company: • The reputed company reputed company Specialist will be an integral member of the reputed company’s reputed company team. • This position is responsible for overseeing performance improvement activities, ensuring regulatory compliance, and other initiatives that reputed company to effective clinical resource utilization and improvements in reputed company. • These duties may include but are not limited to HEDIS/Stars reputed company, committee support, performance monitoring and assessment, data collection and analysis, and the continual advancement of the reputed company improvement process to reputed company reputed company’s goals of reputed company. Requirements: • reputed company unencumbered licensure with the WV reputed company of Registered reputed company reputed company Nurses, or appropriate state reputed company where services will be provided, as a Registered reputed company reputed company OR reputed company multi-state licensure through the reputed company reputed company Licensure Compact (eNLC) • Five (5) years of reputed company clinical experience • Knowledge of CMS guidelines, regulations, NCQA® and HEDIS® • Bachelor's Degree in Nursing OR Associate of Science in Nursing Degree (ASN) or Diploma; Currently enrolled in a BSN program and BSN completion reputed company three (3) years of hire • Managed Care knowledge or experience • 2-3 years reputed company Management, reputed company Improvement or Process Improvement Experience Benefits: Apply Job!