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Sr Specialist, Quality Interventions/QI Compliance- NCQA Accreditation (Remote
Location:
Sparks, NV
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. - This position focuses on Quality Compliance for a health plan and requires experience within that space. - 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. Brings extensive experience in health plan quality compliance. - - - Utilizes a strong background in NCQA accreditation surveys. Has a strong focus on MCO Quality regulatory reporting. - 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. Health Plan Quality Improvement Compliance. NCQA accreditation 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 Project Management in healthcare or for a health plan. - 1 year of experience in Medicare and in Medicaid. Experience with data reporting, analysis and/or interpretation. Preferred License, Certification, Association PMP Certification 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 Pay Range: $44,936.59 - $97,362.61 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Company:
Molina Healthcare
Posted:
May 6 on TopUSAJobs
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More About this Listing: Sr Specialist, Quality Interventions/QI Compliance- NCQA Accreditation (Remote
Sr Specialist, Quality Interventions/QI Compliance- NCQA Accreditation (Remote is a Other Jobs Sr Specialist Quality Job at Molina Healthcare located in Sparks NV. Find other listings like Sr Specialist, Quality Interventions/QI Compliance- NCQA Accreditation (Remote by searching Oodle for Other Jobs Sr Specialist Quality Jobs.
Sr Specialist, Quality Interventions/QI Compliance- NCQA Accreditation (Remote is a Other Jobs Sr Specialist Quality Job at Molina Healthcare located in Sparks NV. Find other listings like Sr Specialist, Quality Interventions/QI Compliance- NCQA Accreditation (Remote by searching Oodle for Other Jobs Sr Specialist Quality Jobs.