Quality Improvement Specialist
Found in: beBee jobs US - 2 weeks ago
Accountable for continuous systematic monitoring of all MedStar Family Choice (MFC) network participating provider processes and outcomes. Responsible for the quality oversight of assigned delegated entities which must meet the established standards set by the State, and NCQA.
- Actively participates in special quality projects, participates and conducts quality audits; i.e. HEDIS, NCQA, and the External Quality Review Organization (EQRO).
- Coordinates and conducts medical record reviews and abstracts data.
- Records information in the Care Management Platform and hybrid record capture tool for HEDIS. Must maintain a minimum of 95% data entry accuracy for auditing purposes.
- Data entry accuracy is a critical function as errors can result in a non-report for the HEDIS care measure impacting the HEDIS rate and NCQA rating.
- Contacts members to educate them about wellness initiatives that align with the State of Maryland's Value Based Purchasing initiatives, HEDIS standards and Performance Improvement Projects.
- Accountable for all contact and following through with member's primary care provider or specialist.
- Responsible for the completion and notification of MCO members identified with HIV and AIDS to the Maryland Department of Health (MDH).
- Coordinates the quality and performance improvement of MFC providers through onsite delivery and education of provider reporting on HEDIS measures and Performance Improvement projects.
We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.
- Associate's degree required or
- equivalent experience required and
- Bachelor's degree preferred
- Clinical experience in an outpatient setting, medicaid experience preferred
- Knowledge of HIPAA security standards and internal confidentiality policies.
- Knowledge of medical terminology.
- Ability to enter and retrieve information using a PC.
- Working knowledge of Microsoft Office software applications.
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Director, Process Improvement
Found in: beBee jobs US - 2 weeks ago
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Information Technology Specialist
Found in: beBee jobs US - 1 week ago
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Found in: beBee jobs US - 1 week ago
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Found in: beBee jobs US - 2 weeks ago
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Found in: beBee jobs US - 1 week ago
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Found in: beBee jobs US - 3 days ago
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Found in: beBee jobs US - 1 week ago
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Found in: beBee jobs US - 2 weeks ago
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IT Specialist
Found in: beBee jobs US - 1 day ago
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Transportation Specialist
Found in: beBee jobs US - 2 weeks ago
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Found in: beBee jobs US - 1 week ago
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IT Security Specialist
Found in: beBee jobs US - 1 week ago
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Telecommunications Specialist
Found in: beBee jobs US - 1 week ago
Washington, Washington, D.C., United States Department Of Transportation Full timeSummary This position is in the Air Traffic Organization; Program Management Organization; Enterprise Services Directorate; Communications, Information, & Network Programs (CINP) Group., Candidates selected under this job announcement may be realigned to the Telecommunications Integrated Services directorate responsible for modernization of the...
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Found in: beBee jobs US - 2 weeks ago
Washington, Washington, D.C., United States Judicial Branch Full timeSummary The Administrative Office of the U.S. Courts (AO) is hiring highly motivated and skilled procurement professionals. Join us in supporting one of the most important missions of the U.S. Government - the administration of justice - and work with a team of professionals at the forefront of procurement, while leveraging cutting edge technology,...
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it cybersecurity specialist
Found in: beBee jobs US - 1 week ago
Washington, Washington, D.C., United States Non-Departmental Agency Full timeSummary DFC ranked a Best Places to Work in 2022.This position is part of the U.S. International Development Finance Corporation (DFC), Office of Information Technology (OIT). As an IT Cybersecurity Specialist, you will be responsible for developing and implementing strategies for continuous monitoring, hunting and detection of security threats and...
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Human Resources Specialist
Found in: beBee jobs US - 1 week ago
Washington, Washington, D.C., United States Non-Departmental Agency Full timeSummary As a Human Resources Specialist (Employee Benefits) at the GS , you will be part of OPM Human Resources Office of Personnel Management. If selected, you will be responsible for serving as a senior specialist within a team administering services for OPM employees related to the Federal benefits programs to include FERS, CSRS, TSP, FEGLI, FEHB,...
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IT Specialist
Found in: beBee jobs US - 1 week ago
Washington, Washington, D.C., United States Executive Office Of The President Full timeSummary This position is located in the Executive Office of the President (EOP), Office of Administration (OA), Office of Chief of Enterprise Applications (OCEA), Product Management and Support Division. As a Product Owner within this division, you will manage one or more products which improves White House operations, from inception to deployment and...
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Found in: beBee jobs US - 2 weeks ago
Washington, Washington, D.C., United States Legislative Branch Full timeSummary GPO's Recent Grads Program allows recent grads to join GPO in career potential positions that emphasize long-term training and development. The primary purpose of this position is to perform a variety of conventional duties relating to a HR program area and to complete developmental assignments and training outlined in a formal training program.This...
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Certified Peer Recovery Specialist
Found in: beBee jobs US - 2 weeks ago
Washington, Washington, D.C., United States CALVARY WOMENS SERVICES, Inc Full timeThe Certified Peer Recovery Specialist will join the program team in providing high quality support services to women living across Calvary's six housing programs.The Certified Peer Recovery Specialist will provide and advocate for effective recovery based services to aid in creating a stable environment for individuals suffering from a substance abuse...
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Information Technology Specialist
Found in: beBee jobs US - 5 days ago
Washington, Washington, D.C., United States Department Of The Treasury Full timeSummary This position is located at Departmental Offices,Management CFO- Info Systems and CIO. As an Information Technology Specialist (APPSW), you will beEvaluating new application software technologies for evolving, important missions. Analyzing and refining unique or experimental software requirements. Writing and maintaining program documentation. ...