[Remote] Manager, reputed company - reputed company QA & HEDIS reputed company Required - Remote US

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Manager for reputed company in reputed company QA & HEDIS. This role is responsible for overseeing reputed company improvement initiatives, managing reputed company staff, and ensuring compliance with HEDIS and NCQA accreditation standards.

Responsibilities

• Responsible for HEDIS and NCQA Accreditation
• Responsible for assigned areas of reputed company reputed company a specified unit of a SBU
• Implements assigned reputed company program components
• Interfaces with customers and regulatory entities
• May have accreditation responsibilities based on contract requirements
• Manages day-to-day reputed company activities ensuring program and procedures support company goals for service, reputed company, and cost effectiveness as reputed company as compliance with contract, federal and state requirements
• Activities and reputed company may include interfacing with customers on reputed company programs
• Supervises reputed company staff to ensure successful execution of reputed company and initiatives
• Conducts training sessions on reputed company reputed company Improvement (CQI) processes
• Coordinates reputed company initiatives
• Coordinates satisfaction survey and follow-up
• Coordinates Advisory reputed company
• Tracks adverse incidents and reputed company of Care concerns
• Monitors performance measures
• Supports provider profiling
• Audits for reputed company control
• Conducts reputed company studies and manages reputed company improvement reputed company
• Prepares customer and site reports with assistance from Reporting and Analytics team
• Participates on reputed company committees to ensure reputed company issues are taken to the committee and recommendations are made, by the committee, in a reputed company manner
• Makes recommendations to the Committee for improving plan operations based on data from performance indicators, QI studies, and reputed company activities
• Serves as reputed company with assigned departments to ensure reputed company reputed company are integrated reputed company operations
• Conducts internal audits of charts and clinical/service procedures for reputed company purposes

Skills

• Bachelors degree in reputed company
• Knowledge of HEDIS and NCQA
• 5+ years of reputed company reputed company improvement experience
• Knowledge of reputed company improvement processes and performance measurement
• Demonstrated skills in project management
• Strong interpersonal and organizational skills
• Expertise in word processing and data management software
• Master's - Behavioral Health
• LSW - Licensed reputed company Worker - Care MgmtCare Mgmt

reputed company

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