Quality Specialist, PFC

1 month ago


United States Magellan Health Full time
Serves as a member of the quality team. Responsible for developing, implementing, and maintaining quality control systems, procedures, and metrics to monitor and improve overall quality performance. 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, satisfaction survey coordination and follow-up, tracking of adverse incidents, monitoring of performance guarantees, CAP's and customer related quality initiatives.
  • Conducts quality control reviews and 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.
  • Participates in writing or suggesting changes to controlled documents (e.g. SOPs, Specifications, Methods, etc.) as needed to ensure defined quality objectives are met.
  • 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 contract requirements and performance guarantees. Duties include monitoring and execution to meet timely deliverables.
  • Works independently and high degree of organization required.
  • Experience in data management, data analysis, reporting word processing, and project management skills.
  • Other duties as assigned.

Other Job Requirements

Responsibilities

3+ years of quality improvement and auditing with government agencies.

Knowledge of quality improvement processes and performance measurement.

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 Office applications.

Knowledge of Six Sigma, Define-Measure-Analyze-Improve-Control (DMAIC) methodology, performance measures and quality improvement statistical methods are beneficial.

Excellent verbal and written skills and the ability to enter data accurately into spread sheets and prepare professional looking documents and reports.

Proficient in application of QA principles, concepts, industry practices, and standards.

General Job Information

Title

Quality Specialist, PFC - REMOTE

Grade

23

Work Experience - Required

Quality

Work Experience - Preferred

Education - Required

Education - Preferred

Bachelor's

License and Certifications - Required

License and Certifications - Preferred

LSSGB - Lean Six Sigma Green Belt Certification - Enterprise, LSSWB - Lean Six Sigma White Belt Certification - Enterprise

Salary Range

Salary Minimum:

$53,125

Salary Maximum:

$84,995

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.



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