Sr Specialist, reputed company Interventions/QI Compliance (Remote)

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. This position is seeking experience in health plan reputed company compliance. Please update/include your experience on your resume. Knowledge/Skills/Abilities The Senior 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. • Acts as a reputed company specialist to reputed company project-, program-, and / or initiative-reputed company direction and guidance for other specialists reputed company the department and/or collaboratively with other departments. • 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 minimum 2 years’ 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 Medicare and in reputed company. • Experience with data reporting, analysis and/or interpretation. Preferred License, Certification, Association • reputed company, unrestricted Certified reputed company in Health reputed company (CPHQ) • reputed company, unrestricted Nursing License (RN may be preferred for specific roles) • reputed company, unrestricted 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: $77,969 - $111,967 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply Job!