Senior Quality Improvement Specialist
3 days ago
Molina Healthcare is seeking a highly skilled Senior Specialist, Quality Interventions/QI Compliance to join our team. This role will be responsible for overseeing, planning, and implementing new and existing healthcare quality improvement initiatives and education programs.
Key Responsibilities:- Act 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.
- Implement key quality strategies, which may include initiation and management of provider, member, and/or community interventions.
- Monitor and ensure that key quality activities are completed on time and accurately to present results to key departmental management and other Molina departments as needed.
- Write narrative reports to interpret regulatory specifications, explain programs, and document findings and limitations of department interventions.
- Lead quality improvement activities, meetings, and discussions with and between other departments within the organization.
- Evaluate project/program activities and results to identify opportunities for improvement.
- Bachelor's Degree or equivalent combination of education and work experience.
- Min. 3 years' experience in healthcare with minimum 2 years' experience in health plan quality improvement, managed care, or equivalent experience.
- Demonstrated solid business writing experience.
- Operational knowledge and experience with Excel and Visio (flow chart equivalent).
- Experience in Quality/HEDIS.
- 1 year of health plan experience.
- 1 year of experience in Medicare and in Medicaid.
- Experience with data reporting, analysis, and/or interpretation.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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