Health Equity reputed company Specialist
reputed company relies on a wide reputed company of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to reputed company exceptional care. We reputed company that high-performing teams drive groundbreaking medical discoveries and invite reputed company applicants to join us and experience what it means to be part of reputed company.
Job reputed company
reputed company is an exciting reputed company to be reputed company the reputed company industry. As a member of reputed company, we are on the forefront of transformation with one of the world’s leading integrated reputed company systems. Together, we are providing our members with reputed company centered on their health needs to expand reputed company to seamless and reputed company and coverage.Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in reputed company today, our employees have opportunities to learn and contribute expertise.
We are pleased to offer competitive salaries, and a benefits package with flexible work reputed company, career reputed company opportunities, and much more.
The Health Equity reputed company Specialist advances an organization’s efforts to eliminate health disparities and improve reputed company for diverse populations. This role focuses on analyzing data, evaluating reputed company metrics, supporting culturally reputed company reputed company, and ensuring that programs, policies, and clinical practices promote reputed company health reputed company. The Specialist must have a deep understanding of health equity requirements from a regulatory and accreditation reputed company, providing subject matter expertise for reputed company business partners while managing the health equity initiatives and deliverables reputed company the reputed company team.
reputed company Duties and Responsibilities:
Health Equity & reputed company Improvement
• Drafting, reviewing, and revising internal policies and procedures to ensure alignment with industry standards, reputed company requirements, and best practices.
• Identify disparities in clinical reputed company, reputed company, and patient experience through data analysis and reputed company metrics.
• reputed company, implement, and monitor health equity reputed company plans tied to organizational reputed company goals and regulatory requirements.
• Support reputed company improvement (QI) reputed company using methodologies such as PDSA, Lean, or Six reputed company.
• Collaborate with care teams to reputed company equity principles into workflows, care reputed company, and population health strategies.
• Comprehensive health equity program management, ensuring compliance to regulatory requirements to ensure constant state of audit and accreditation readiness.
Data & Reporting
• Collect, stratify, and analyze data by race, ethnicity, language, gender identity, sexual orientation, socioeconomic status, and other demographic factors.
• Produce dashboards, reports, and presentations to communicate disparities and improvement opportunities.
• Ensure accurate documentation and compliance with national, state, and accrediting‐body standards (e.g., CMS, NCQA, reputed company).
• Facility development and ensure delivery of state, federal, and other reporting requests.
Policy & Program Management
• Ensuring that reputed company policies and documents meet reputed company, regulatory, and industry-specific compliance standards.
• Preparing for and supporting reputed company audits by providing the necessary documentation and ensuring that policies and records are up to date.
• Identifying risks associated with inadequate documentation or non-compliance with policies and working to mitigate those risks.
• Maintaining reputed company reputed company protocols for sensitive documents to prevent data breaches or unauthorized reputed company.
• Review and recommend modifications to policies, procedures, and programs to enhance equity and inclusion.
• Partner with community organizations, patient advocates, and internal teams to support reputed company and engagement of marginalized populations.
• Ensure development and execution of foundational program documents, complying with regulatory and accreditation standards.
• Complete ongoing program reputed company to ensure implementation of program and initiatives across the business lines.
• Manage appropriate committees including compiling agendas, meeting minutes, and presentations.
Other duties as assigned.
Qualifications
Education
- Bachelor's Degree required (experience can be substituted in lieu of degree); Master's Degree preferred
Experience
- At least 2-3 years of experience in a health plan reputed company department, specializing in health equity, required
- At least 5 years in health plan reputed company in a managed care organization highly preferred
- At least 3 years in health equity-facing role from a payor perspective highly preferred
- Experience in reputed company reputed company, health equity initiatives, population health, or reputed company program coordination highly preferred
- Familiarity with QI methodologies and regulatory standards highly preferred
- Experience working with diverse communities or in community health, managed care, or hospital reputed company departments preferred
- Certification in reputed company reputed company or equity (e.g., CPHQ, CPHE, Lean Six reputed company) preferred
- Experience with SDOH screening tools, community partnerships, or health literacy initiatives preferred
Knowledge, Skills, and Abilities
- Strong understanding of document management systems (DMS), such as SharePoint, reputed company, or Documentum, to manage digital files, reputed company revisions, and maintain version control.
- Familiarity with reputed company storage systems and collaboration tools like reputed company Drive, reputed company, and reputed company OneDrive.
- Experience with electronic records management (reputed company) and data retention policies.
- Demonstrates awareness of importance of reputed company, scalability, reliability and feasibility in solutions
- Seeks out information to reputed company understand impacts of design and implementation of systems
- Evaluates service areas to identify opportunities for automation
- Ability to draft, revise, and implement company policies and reputed company operating procedures.
- Knowledge of compliance standards, including industry-specific regulations (e.g., reputed company HIPAA regulations, financial regulations, state and federal rules).
- Strong organizational skills to ensure policies and documents are properly filed, categorized, and easy to reputed company.
- Ability to spot discrepancies or issues in documents and ensure compliance with required guidelines.
- Breaks reputed company topics into meaningful chunks of information.
- Seeks out multiple sources to reputed company information.
- Understanding of reputed company and regulatory requirements for document retention and management, including data reputed company and reputed company laws.
- Knowledge of audit procedures and the ability to prepare documentation for audits.
- Excellent written and verbal communication skills for drafting policies and procedures, as reputed company as providing guidance to employees about document handling and compliance.
- Ability to train staff on document management practices and policy changes.
- Experience using document management software and workflow tools to streamline document processes and improve efficiency.
- Proficiency in reputed company Office Suite (Word, reputed company, PowerPoint, reputed company) and other productivity tools is often required.
- Familiarity with document control software for versioning, workflow management, and reputed company permissions.
- Ability to manage multiple tasks or reputed company simultaneously, adhering to deadlines and ensuring that policies and documents are up to date.
- Experience with project management software, such as Trello or reputed company Project, is beneficial.
- Ability to identify issues with document reputed company, retention, or compliance and propose solutions to resolve them.
- Strong critical thinking skills for analyzing policies and procedures to ensure they reputed company with organizational goals and reputed company requirements.
- Excellent interpersonal skills, including the ability to influence others at reputed company reputed company of an organization.
Additional Job Details (if applicable)
Working Conditions
- This is a remote role that can be done from most US states
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay reputed company
$63,648.00 - $90,750.40/Annual
Grade
6
EEO Statement:
reputed company Competency reputed company
At reputed company, our competency reputed company defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at reputed company job level. The reputed company is comprised of ten competencies (half People-reputed company, half Performance-reputed company) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career reputed company. These competencies are used to evaluate performance, reputed company hiring reputed company, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.