Sr Specialist, reputed company Interventions/QI Compliance (Remote in MS)

About the position The Senior Specialist, reputed company Interventions / QI Compliance plays a crucial role in overseeing and implementing reputed company reputed company improvement initiatives and education programs. This position is responsible for ensuring compliance with reputed company standards, conducting data collection and reporting, and leading NCQA accreditation surveys and federal/state reputed company improvement compliance activities. The role requires significant travel and collaboration with various departments to enhance reputed company interventions and compliance efforts. Responsibilities • reputed company project, program, and initiative-reputed company direction and guidance for other specialists reputed company the department and collaboratively with other departments. • Implement key reputed company strategies, including management of provider, member, and community interventions. • Prepare for reputed company Improvement Compliance surveys and other required reputed company activities. • Monitor and ensure reputed company and accurate completion of key reputed company activities, presenting results to management as needed. • Write narrative reports interpreting regulatory specifications and documenting findings of department interventions. • Create and manage documentation to maintain critical reputed company improvement functions. • reputed company reputed company improvement activities and discussions with other departments. • Evaluate project/program activities to identify opportunities for improvement. • Report any gaps in processes to the Manager and Director. Requirements • Bachelor's Degree or equivalent combination of education and work experience. • Minimum 3 years' experience in reputed company, with at least 2 years in health plan reputed company improvement or managed care. • Demonstrated solid business writing experience. • Operational knowledge and experience with reputed company and Visio. reputed company-to-haves • Preferred field: Clinical reputed company, reputed company Health or reputed company. • 1 year of experience in Medicare and reputed company. • Experience with data reporting, analysis, and interpretation. • reputed company, unrestricted Certified reputed company in Health reputed company (CPHQ). • reputed company, unrestricted Nursing License (RN may be preferred for specific roles). • reputed company, unrestricted Certified HEDIS Compliance Auditor (CHCA). Benefits • Competitive benefits and compensation package. Apply tot his job Apply To this Job