JOB DESCRIPTION
ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner
companies to source qualified talent for their open roles. The following
position is available to Veterans, Transitioning Military, National Guard and
Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If
you have the required skill set, education requirements, and experience, please
click the submit button and follow the next steps.
Must have:
2+ years of HEDIS related experience (where applicable).
2+ years of quality improvement and auditing or related in healthcare field.
Attention to detail and ability to work efficiently to meet deadlines and
timelines.
High degree of organization required.
Expertise in data management, data analysis, reporting word processing, and
project management skills.
Strong working knowledge of Microsoft Excel, VISIO and MS Project.
Knowledgeable in HEDIS (where applicable) and Accreditation (NCQA and/or URAC)
requirements.
Knowledge of healthcare quality improvement processes, accreditation standards,
and HEDIS/performance measurement.
Expertise in data management, data analysis, reporting word processing, and
project management skills.
Strong working knowledge of Microsoft Excel, VISIO, and/or MS Project.
Excellent verbal and written skills and the ability to enter data accurately
into spread sheets and prepare professional looking documents and reports.
Serves as a member of the quality team at the national, regional or unit level.
Coordinates projects resulting in continuous quality improvement and process
improvement. Supports the maintenance of a strong quality program, measured
processes including URAC, NCQA, and/or HEDIS (where applicable) and reported
outcomes.
Coordinates assigned quality and process improvement activities which may
include accreditation support, process improvement projects, quality studies,
CQI (continuous quality improvement) process training for staff, prevention
program coordination, care coordination initiatives, satisfaction survey
coordination and follow-up, provider and member advisory groups (where
applicable), tracking of adverse incidents, monitoring of performance
guarantees, CAPs and customer related quality initiatives.
Conducts quality control reviews and external/internal audits.
Summarizes findings and prepares reports on findings.
Assists in the preparation of customer audits.
Conducts analyses of data findings for quality and process improvement and
assists in report preparation for internal and external customers.
Leads and/or supports assigned quality committees and/or work groups through
comprehensive project management, ensuring that documentation is accurate and
timely, agenda items presented, and follow-up actions taken.
Supports the quality program with the goal to meet customer requirements and
performance guarantees. Duties include monitoring and execution to meet timely
deliverables.
Works independently and high degree of organization required.
The job duties listed above are representative and not intended to be
all-inclusive of what may be expected of an employee assigned to this job. A
leader may assign additional or other duties which would align with the intent
of this job, without revision to the job description.
ADDITIONAL QUALIFICATIONS/RESPONSIBILITIES
2+ years of HEDIS related experience (where applicable).
2+ years of quality improvement and auditing or related in healthcare field.
Attention to detail and ability to work efficiently to meet deadlines and
timelines.
High degree of organization required.
Expertise in data management, data analysis, reporting word processing, and
project management skills.
Strong working knowledge of Microsoft Excel, VISIO and MS Project.
Knowledgeable in HEDIS (where applicable) and Accreditation (NCQA and/or URAC)
requirements.
Knowledge of healthcare quality improvement processes, accreditation standards,
and HEDIS/performance measurement.
Expertise in data management, data analysis, reporting word processing, and
project management skills.
Strong working knowledge of Microsoft Excel, VISIO, and/or MS Project.
Excellent verbal and written skills and the ability to enter data accurately
into spread sheets and prepare professional looking documents and reports.
Title
Quality Specialist II - Remote
Grade
23
Work Experience - Required
Quality
Work Experience - Preferred
Education - Required
GED, High School
Education - Preferred
Bachelor's - Healthcare
License and Certifications - Required
License and Certifications - Preferred
LSSGB - Lean Six Sigma Green Belt Certification - EnterpriseEnterprise, LSSWB -
Lean Six Sigma White Belt Certification - EnterpriseEnterprise
Salary Range
Salary Minimum:
$53,125
Salary Maximum:
$84,995