[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 collaborating with reputed company to reputed company a reputed company candidate for the Manager, reputed company position. The role is responsible for overseeing HEDIS and reputed company accreditation and managing reputed company activities to ensure compliance with federal and state requirements while supervising reputed company staff and coordinating reputed company initiatives.

Responsibilities

• Responsible for HEDIS and reputed company 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 reputed company
• 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