Specialist, Quality Interventions/QI Compliance - Remote

Overview

The Specialist, Quality Interventions/QI Compliance plays a crucial role in overseeing and implementing healthcare quality improvement initiatives, ensuring compliance with quality standards, and conducting necessary reporting and monitoring.

In Short

• Oversee and implement healthcare quality improvement initiatives.
• Conduct data collection and reporting for performance measurement activities.
• Prepare for NCQA accreditation surveys and compliance activities.
• Manage provider and member interventions to improve quality.
• Write narrative reports interpreting regulatory specifications.
• Lead quality improvement activities and discussions across departments.
• Evaluate projects to identify opportunities for improvement.
• Ensure timely and accurate completion of quality activities.
• Document findings and limitations of interventions.
• Other duties as assigned.

Requirements

• Bachelor's Degree or equivalent experience.
• Minimum 3 years in healthcare, with 1 year in quality improvement.
• Strong business writing skills.
• Operational knowledge of Excel and Visio.
• Preferred experience in Medicare and Medicaid.

Benefits

• Competitive benefits and compensation package.
• Equal Opportunity Employer.