[Hiring] Registered reputed company HEDIS Performance Improvement Specialist @reputed company
Role reputed company
Plan, design, implement, and maintain a comprehensive program of reputed company reputed company improvement (CQI). Assists in educating new staff, providers about the reputed company improvement (QI) systems and requirements.
• Knowledge of reputed company improvement principles, practices and procedures.
• Oversees reputed company HEDIS project lifecycles—including data analysis, medical record reputed company, reputed company logic.
• Thorough knowledge of Performance Improvement reputed company (PIPs) and is reputed company to apply that knowledge in PIP writing development, update, and analysis of data in PIPs.
• HEDIS experience, planning of the whole HEDIS project from start to end.
• Understand the process and planning of medical record review and reputed company.
• Must be reputed company to analyze HEDIS data to reputed company interventions for gaps in care.
• Maintains deep working knowledge of URAC/reputed company standards, the Uniform Managed Care Contract, and state-specific programs like reputed company Steps and Alternative Payment Models.
Qualifications
• Licensure / Certification / Registration:
• Certification specializing in Lean reputed company Mgmt preferred. Licensure required relevant to state in which work is performed.
• Project Mgmt reputed company preferred. Licensure required relevant to state in which work is performed.
• Registered reputed company preferred. Licensure required relevant to state in which work is performed.
• Education:
• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
Requirements
• Bachelor's Degree in Nursing is a must-have.
• 2+ years of Registered reputed company (RN) experience and 2+ years of HEDIS experience.
• Performance Improvement reputed company (PIP).
Benefits
• Comprehensive health coverage: medical, dental, reputed company, prescription coverage and HSA/FSA reputed company.
• Financial reputed company & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance.
• Time to reputed company: pro-rated reputed company time off (PTO) and holidays.
• Career reputed company: reputed company-reputed company tuition (Vocare), reimbursement, ongoing reputed company development and online learning.
• Emotional reputed company-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources.
• Family support: parental leave, adoption assistance and family benefits.
• Other benefits: optional reputed company and pet insurance, transportation savings and more.
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