Sr Specialist, Quality Interventions/QI Compliance (Remote in Arizona)
Job Description
JOB DESCRIPTION
Job Summary
Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality 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 Senior Specialist, Quality Interventions / QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions and Quality Improvement Compliance.
? Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and guidance for other specialists within the department and/or collaboratively with other departments.
? Implements key quality strategies, which may include initiation and management of provider, member and/or community interventions (e.g., removing barriers to care); preparation for Quality Improvement Compliance surveys; and other federal and state required quality activities.
? Monitors and ensures that key quality 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 quality improvement functions.
? Leads quality improvement activities, meetings, and discussions with and between other departments within 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, projects, 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 healthcare with minimum 2 years' experience in health plan quality improvement, managed care or equivalent experience.
? Demonstrated solid business writing experience.
? Operational knowledge and experience with Excel and Visio (flow chart equivalent).
Preferred Education
Preferred field: Clinical Quality, Public Health or Healthcare.
Preferred Experience
? 1 year of experience in Medicare and in Medicaid.
? Experience with data reporting, analysis and/or interpretation.
Preferred License, Certification, Association
? Active, unrestricted Certified Professional in Health Quality (CPHQ)
? Active, unrestricted Nursing License (RN may be preferred for specific roles)
? Active, unrestricted Certified HEDIS Compliance Auditor (CHCA)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJQA
#LI-AC1
Similar Remote Jobs
Sr Specialist, Quality Interventions/QI Compliance (Remote in Arizona)
Posted on: 26-11-2024 06:19
Part Time Amazon Careers (Data Entry) -Kickstart Career
Posted on: 26-11-2024 06:19
Data Entry Specialist (Remote, Entry-Level) ? Apple Inc.
Posted on: 26-11-2024 06:19
Bookkeeper - Client: Vacation Rental Software, Remote Job
Posted on: 26-11-2024 06:19
Senior Product Manager (Remote Anywhere in the U.S.)
Posted on: 26-11-2024 06:19
Order Processing Associate Part-time (Remote, based in Nashville)
Posted on: 26-11-2024 06:19
Software Engineer Manager, Supply Chain - Sourcing (Remote)
Posted on: 26-11-2024 06:19
Customer Engagement Assistant (Immediate Start / No Experience Needed)
Posted on: 26-11-2024 06:19
Virtual Customer Care Chat Professional | $25-$30 per Hour
Posted on: 26-11-2024 06:19
Remote Telemedicine Job for Veterinarian (Night / Weekend Shifts)
Posted on: 26-11-2024 06:19
Virtual Apron Design Specialist
Posted on: 04-12-2024 05:41
Network Partnerships Manager
Posted on: 05-07-2024 05:50
Experience Designer, Airbnb for Real Estate ? Vacancy Global
Posted on: 06-02-2025 00:00
Intern - Data Science-1
Posted on: 13-12-2024 17:47
Staff Software Engineer, Host Calendar
Posted on: 23-11-2024 06:30
Part-time Remote Search Analyst United Kingdom
Posted on: 15-10-2024 08:31
Lead Database Administrator - 3rd Shift
Posted on: 20-01-2025 00:00
UPS Remote Jobs (Data Entry, Full Time) $260/Day - WFH
Posted on: 22-11-2024 05:34
Fullmind Virtual Educator (certification required)
Posted on: 25-08-2024 00:00
(Part-Time Remote) Amazon Online Chat Jobs - (Work From Home)
Posted on: 09-07-2024 07:20