Specialist, Quality Interventions/Qi Compliance (Remote In Va) ($45390.00 - $88511.00 / Year)

Advantages of Applying to this Job and Being Part of the Company:

• Equal opportunity employer committed to diversity and inclusion
• Competitive benefits and compensation package
• Exposure to a variety of quality improvement functions, including interventions, compliance, and accreditation surveys
• Opportunity to contribute to healthcare quality improvement initiatives and make a positive impact on members' lives
• Collaborative work environment with opportunities for leadership and professional growth

Job Responsibilities

• Monitor and ensure timely and accurate completion of key quality activities, presenting results to management and other departments
• Write narrative reports to interpret regulatory specifications and document findings and limitations of interventions
• Prepare for Quality Improvement Compliance surveys and fulfill federal and state required quality activities
• Implement key quality strategies, including provider, member, and community interventions
• Create, manage, and compile documentation for critical quality improvement functions

Additional Responsibilities

• Surface any process gaps to Manager and Director for remediation
• Evaluate project/program activities and results to identify opportunities for improvement
• Lead quality improvement activities, meetings, and discussions with other departments within the organization

Job Qualifications

• Operational knowledge and experience with Excel and Visio
• Bachelor's Degree or equivalent combination of education and work experience
• Minimum 3 years' experience in healthcare with 1 year experience in health plan quality improvement or managed care
• Preferred field: Clinical Quality, Public Health, or Healthcare
• Solid business writing experience

Preferred Experience

• Preferred certifications: Certified Professional in Health Quality (CPHQ), Nursing License (RN), Certified HEDIS Compliance Auditor (CHCA)
• 1 year of experience in Medicare and Medicaid

Pay Range: $45,390 - $88,511

Additional Information

• Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
• This position may require multiple day out of town overnight travel approximately 0 - 20% of the time, depending upon location.
• This position may require same day out of office travel approximately 0 - 50% of the time, depending upon location.
• Actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level.
• To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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