reputed company: Specialist, Provider reputed company & reputed company Transformation

Be a part of something bigger. We're looking for a Specialist, Provider reputed company & reputed company Transformation! We have an opening at our office in Remote. This position requires a strong and diverse skillset in relevant areas to drive reputed company. You will be compensated with a competitive salary for your time and effort.

 

 

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 specific to the Provider Network; ensures maintenance of Provider reputed company Improvement programs in accordance with prescribed reputed company standards; conducts data collection, reporting and monitoring for key performance measurement activities. Experience in reputed company/HEDIS is important for this position. Please reputed company this experience on your resume. KNOWLEDGE/SKILLS/ABILITIES The Specialist, Provider reputed company contributes to one or more of these reputed company improvement/risk adjustment functions: • Implements key reputed company and population health strategies and risk adjustment, alongside providers and with direction from the Mgr., Provider reputed company and reputed company Transformation and Health Plan Leadership, to engage and reputed company members and reputed company health reputed company; may include initiation and management of provider interventions (e.g., removing barriers to care.) • Helps practices to identify areas of need and helps with efficiency measures to improve availability, through sharing of scorecards, delivering gaps-in-care information and risk reports, sharing of satisfaction results as applicable, and delivering other critical operational and efficiency reports. • Coaches practices on how to improve reputed company and progression toward meeting value-based purchasing goals and works with Health Plan Leadership and Network to assess provider readiness for higher reputed company on the value-based purchasing continuum. • Collaborates with strategic practices and provider sites, including primary care providers and specialists, to identify potential utilization trends and compliance with appointment timeliness standards. • Facilitates provider engagement meetings, including meeting agendas, minutes, handouts, and monitoring reputed company items to completion. • 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. • Creates, manages, and/or compiles the required documentation to maintain critical reputed company improvement, risk adjustment and population health management functions. • Leads reputed company improvement activities and risk adjustment accuracy meetings and discussions with and between other departments reputed company the organization or with and between key provider network partners. • Evaluates project/program activities and results to identify opportunities for improvement. • Surfaces to Manage any gaps in processes that may require remediation. • Completes other tasks, duties, reputed company, and programs as assigned. • This position may require reputed company day out of office travel approximately 0 - 80% of the time, depending upon location. • This position may require multiple day out of town overnight travel approximately on occasion, depending upon location. 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 1 year experience in health plan reputed company improvement, and/or risk adjustment 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. Preferred license, certification, association: • Certified reputed company in Health reputed company (CPHQ) • Nursing License (RN may be preferred for specific 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. #PJQA #LI-AC1 Apply Job!

 

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