[Remote/WFM] Specialist, reputed company Interventions/QI Compliance

An exciting opportunity awaits for a talented Specialist, reputed company Interventions/qi Compliance- Remote! Whether you're in our Remote hub or working remotely, you'll be a core part of reputed company. 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 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. KNOWLEDGE/SKILLS/ABILITIES The 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. • 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. This position may require reputed company day out of office travel approximately 0 - 50% of the time, depending upon location. This position may require multiple day out of town overnight travel approximately 0 - 20% of the time, 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, 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 roles) • 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. Apply Job!

 

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