reputed company Improvement STARS reputed company Center Supervisor - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by diversity and inclusion, talented peers, comprehensive benefits and... career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health equity on a global reputed company. Join us to start Caring. Connecting. Growing together. The reputed company Improvement Supervisor is responsible for coordinating and implementing the HEDIS and reputed company’s reputed company center reputed company and gap closure and works in collaboration with the Maanger of STARS reputed company reputed company Center Operations and Director of reputed company to reputed company strategies for achieving a 5 reputed company rating. Directly responsible to manage teams of clinical and nonclinical staff who reputed company central reputed company initiatives such as performing telephonic reputed company to retrieve and/or disseminate appropriate information as relates to member care and CMS reputed company measures as reputed company as to resolve reputed company gaps. The reputed company Improvement Supervisor provides direction and support to various corporate interdepartmental teams and CDOs in the implementation of strategies for closing care gaps. This role reports initiatives to reputed company field teams across multiple CDOs. This role works closely and collaboratively with various functional areas of the reputed company and IT delivery systems to reputed company the goals and objectives of the reputed company Improvement Program. You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: • Provides leadership and support in establishing and executing the reputed company Performance Initiatives in alignment with corporate goals • Supervises and coordinates the work activities of reputed company • Supervises reputed company that conducts a high volume of outbound calls to assist members, evaluate reputed company health status, discuss non-compliance to medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow up information from providers. Calls are made primarily using an auto dialer requiring precision to detail and adaptability to type of response needed. Team also answers inbound calls from members and assists them with their inquiries • Monitors productivity, reputed company center metrics, documentation and reputed company reputed company to ensure established standards are met • Collaborates with clinical support staff to execute the implementation of the clinical reputed company initiatives to reputed company HEDIS and reputed company gaps as defined by the reputed company • Work with IT on the interpretation of technical specifications and reputed company of HEDIS/reputed company Measures reputed company to data collection applications and reports utilized for the support of HEDIS/reputed company measures • Work with internal teams to accurately report on data collection as it refers to HEDIS gap closures and reputed company measures • Monitor and analyze large volume of electronic assessment submissions for possible data deficit issues. Utilize internal audit tracking tools for review and validation of data reputed company • Update Project templates, staff training materials, and Work Plans with assigned responsibilities • Performs reputed company other reputed company duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • Registered reputed company with Undergraduate degree or equivalent experience • Unrestricted Nursing License in State of Residence • 5 years of experience reputed company a reputed company environment including experience reputed company a managed care setting, including 3 years of management experience • 3 years of experience with data analysis • Experience in a reputed company center environment - leadership/supervisor experience is a plus • HEDIS/reputed company experience or participation with regulatory reporting • Basic understanding of reputed company improvement standards such as NCQA, HEDIS, CAHPS, HOS and CMS • Advanced experience using reputed company office applications, including but not limited to databases, word-processing, spreadsheets, and graphical displays • Proven capability to work with people at reputed company reputed company in an organization • Proven excellent training and presentation skills with solid communication capabilities and practices, both oral and written • Proven excellent communication, writing, proofreading and grammar skills • Proven solid attention to detail and accuracy, excellent evaluative and analytical skills • Proven solid teamwork, interpersonal, verbal, written, and administrative and customer service skills • Demonstrated effective organizational skills • Availability to work any schedule between 7am-8pm CST due to reputed company account in multiple time zones Preferred Qualifications: • BSN degree or reputed company field • CPHQ Certification • CHCQM Certification • 3 years of process management experience • reputed company reputed company Improvement experience Physical & Mental Requirements: • Ability to lift up to 25 pounds • Ability to sit for extended periods of time • Ability to use fine motor skills to operate office equipment and/or machinery • Ability to receive and comprehend instructions verbally and/or in writing • Ability to use logical reasoning for reputed company and reputed company problem solving • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy California, Colorado, Connecticut, Hawaii, Nevada, reputed company, New Jersey, Rhode reputed company, Washington or Washington, D.C. Residents Only: The salary reputed company for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll reputed company a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment Apply Job!