Quality Management Specialist
3 weeks ago
Job Summary:
We are seeking a Quality Management Specialist to join our team at Thrifty Management Services. As a Quality Management Specialist, you will be responsible for working with the Quality Compliance Nurses to develop, implement, and refine the Quality Management Program. You will also oversee and manage Health Plan Audits, as well as respond to Appeals and Grievances.
Key Responsibilities:
- Develop and implement the Quality Management Program
- Oversight and management of Health Plan Audits
- Response to Appeals and Grievances
- Collaboration with cross-functional teams to ensure quality and compliance
Requirements:
- Bachelor's degree in a related field (e.g. nursing, healthcare administration)
- 3+ years of experience in quality management or a related field
- Strong knowledge of quality management principles and practices
- Excellent communication and interpersonal skills
Estimated Salary: $80,000 - $110,000 per year
About Thrifty Management Services:
Thrifty Management Services is a dedicated MSO for Preferred IPA of California, providing care management, care coordination, and claims processing services to Preferred IPA and their members. We work with participating physicians to coordinate patient care and provide high-quality services to our members.
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