Specialist, Quality Interventions/QI Compliance- Remote
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 Specialist, Quality Interventions/ QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions and Quality Improvement Compliance.
? 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.
This position may require same 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 healthcare with 1 year 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.
Preferred License, Certification, Association
? Certified Professional in Health Quality (CPHQ)
? Nursing License (RN may be preferred for specific roles)
? 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
Similar Remote Jobs
Specialist, Quality Interventions/QI Compliance- Remote
Posted on: 22-10-2024 05:25
Remote Call Center Fiber Sales
Posted on: 22-10-2024 05:25
Telepharmacy Technician- WA state licensed
Posted on: 22-10-2024 05:25
MES Software Deployment Team Lead
Posted on: 22-10-2024 05:25
Senior Manager, Customer Experience (Remote)
Posted on: 22-10-2024 05:25
Remote Production Controls Technician?/3rd Shift
Posted on: 22-10-2024 05:25
Remote Data Analyst III Position
Posted on: 22-10-2024 05:25
Part-Time Creator/Influencer (Social Media Content)
Posted on: 22-10-2024 05:25
Board Certified Behavior Analyst (BCBA)
Posted on: 22-10-2024 05:25
Amazon Remote Data Entry Jobs
Posted on: 22-10-2024 05:25
Disney Social Media Customer Support (Work From Home)
Posted on: 02-08-2024 17:49
Lead AI Architect (Remote)
Posted on: 16-01-2025 19:15
Strategic Relationship Manager
Posted on: 25-09-2024 00:00
Information Governance Analyst (Part-Time, Job-Share, Full-Time)
Posted on: 03-10-2024 00:00
Lead Big Data Developer
Posted on: 28-01-2025 06:21
Pharmacy Technician, Telehealth
Posted on: 21-11-2024 08:14
Licensed Customer Service Representative
Posted on: 02-12-2024 03:11
Delta Airlines Work at Home Remote Jobs ? Entry Level
Posted on: 30-09-2024 00:00
3rd Shift: IBM Operational Support Analyst - Power10/iSeries/AS400
Posted on: 06-11-2024 04:54
Geriatrics Medical Director - Value-Based Care Performance | Remote | WFH
Posted on: 22-09-2024 00:00