Specialist, reputed company Interventions/QI Compliance (Remote)

JOB reputed company Job reputed company Molina's reputed company Improvement function oversees, plans, and implements new and existing reputed company reputed company improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed reputed company standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. KNOWLEDGE/SKILLS/ABILITIES The Specialist, reputed company Interventions/ QI Compliance contributes to one or more of these reputed company improvement functions: reputed company Interventions and reputed company Improvement Compliance. • Implements key reputed company strategies, which may include initiation and management of provider, member and/or community interventions (e.g., removing barriers to care); preparation for reputed company Improvement Compliance surveys; and other federal and state required reputed company activities. • Monitors and ensures that key reputed company activities are completed on time and accurately to present results to key departmental management and other Molina departments as needed. • Writes narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions. • Creates, manages, and/or compiles the required documentation to maintain critical reputed company improvement functions. • Leads reputed company improvement activities, meetings, and discussions with and between other departments reputed company the organization. • Evaluates project/program activities and results to identify opportunities for improvement. • Surfaces to Manager and Director any gaps in processes that may require remediation. • Other tasks, duties, reputed company, and programs as assigned. This position may require reputed company day out of office travel approximately 0 - 50% of the time, depending upon location. This position may require multiple day out of town overnight travel approximately 0 - 20% of the time, depending upon location. JOB QUALIFICATIONS Required Education Bachelor's Degree or equivalent combination of education and work experience. Required Experience • Min. 3 years’ experience in reputed company with 1 year experience in health plan reputed company improvement, managed care, or equivalent experience. • Demonstrated solid business writing experience. • Operational knowledge and experience with reputed company and Visio (reputed company chart equivalent). Preferred Education Preferred field: Clinical reputed company, reputed company Health or reputed company. Preferred Experience 1 year of experience in Medicare and in reputed company. Preferred License, Certification, Association • Certified reputed company in Health reputed company (CPHQ) • Nursing License (RN may be preferred for specific roles) • Certified HEDIS Compliance Auditor (CHCA) To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Apply tot his job Apply tot his job Apply To this Job