Specialist, Quality Interventions/QI Compliance (Remote)

Lensa; Phoenix (AZ); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Specialist in Quality Interventions/QI Compliance. This remote role involves overseeing quality improvement initiatives, ensuring compliance, and managing documentation. Ideal candidates will have a Bachelor's degree and experience in healthcare quality improvement.

Benefits

Competitive Benefits

Qualifications

• Minimum 3 years in healthcare, with 1 year in health plan quality improvement.
• Strong business writing skills.

Responsibilities

• Implements key quality strategies and prepares for Quality Improvement Compliance surveys.
• Monitors and ensures timely completion of quality activities.
• Leads quality improvement activities and meetings.

Skills

Business Writing

Quality Improvement

Data Collection

Education

Bachelor's Degree

Tools

Excel

Visio

Job description

Specialist, Quality Interventions/QI Compliance (Remote)

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

Job Summary
Molina's Quality Improvement function oversees, plans, and implements healthcare quality improvement initiatives and education programs. It ensures maintenance of programs for members according to prescribed quality standards, conducts data collection, reporting, and monitoring for key performance activities, and manages NCQA accreditation surveys and federal/state QI compliance activities.

Knowledge/Skills/Abilities
The Specialist, Quality Interventions/ QI Compliance contributes to quality improvement functions such as Quality Interventions and Quality Improvement Compliance.

• Implements key quality strategies, including provider, member, and community interventions, and prepares for Quality Improvement Compliance surveys.
• Monitors and ensures timely and accurate completion of quality activities, reporting results to management.
• Writes narratives to interpret regulatory specifications, explain programs, and document findings and limitations.
• Creates and manages documentation for quality functions.
• Leads quality improvement activities and meetings within the organization.
• Evaluates projects to identify improvement opportunities.
• Identifies process gaps for remediation and reports to management.
• Performs other related tasks and projects as assigned.

Job Qualifications
Required Education
Bachelor's Degree or equivalent experience.

Required Experience
Minimum 3 years in healthcare, with 1 year in health plan quality improvement or managed care. Strong business writing skills. Operational knowledge of Excel and Visio.

Preferred Education
Field: Clinical Quality, Public Health, Healthcare.

Preferred Experience
Experience in Medicare and Medicaid for at least 1 year.

Preferred Certifications
CPHQ, Nursing License (RN preferred), CHCA.

To current Molina employees: Apply through the intranet.

Molina offers competitive benefits. EOE M/F/D/V.

Pay Range: $21.82 - $48.94/hour

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Quality Assurance
• Industries: IT Services and IT Consulting

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