Quality Compliance Specialist – Remote
Jobs for Humanity · Salem
Job description
About the role
The Specialist, Quality Interventions/QI Compliance supports Molina's Quality Improvement function by overseeing and implementing healthcare quality initiatives, ensuring compliance with NCQA accreditation and federal/state regulations.
Key responsibilities
- Implement key quality strategies, including provider, member, and community interventions.
- Prepare for Quality Improvement Compliance surveys and manage required documentation.
- Monitor and report on key performance measurements to departmental leadership.
- Lead quality improvement meetings and evaluate program outcomes for improvement opportunities.
Required profile
- Minimum 3 years of healthcare experience with at least 1 year in health plan quality improvement or managed care.
- Bachelor's degree or equivalent experience; preferred fields include Clinical Quality, Public Health, or Healthcare.
- Experience with Medicaid/Marketplace programs is preferred.
Required skills
- Proficiency in Microsoft Excel.
- Ability to create flowcharts using Visio.
- Strong business writing and report preparation skills.
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Published 5 days ago
Expires 1 month from now
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Jobs for Humanity
Salem
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