Specialist, Quality Interventions/QI Compliance (Remote)

Lensa; Phoenix (AZ); Remote; Full time

Job summary

A leading company in healthcare is seeking a Specialist for Quality Interventions and QI Compliance. This role involves implementing quality strategies, monitoring compliance activities, and managing documentation. Ideal candidates will have a Bachelor's degree, relevant healthcare experience, and strong business writing skills.

Qualifications

• 3+ years in healthcare, with 1 year in quality improvement.
• Strong business writing skills required.
• Operational knowledge of Excel and Visio.

Responsibilities

• Implements quality strategies and prepares for compliance surveys.
• Monitors quality activities and presents results to management.
• Leads quality improvement activities across departments.

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 in accordance with 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 contributes to quality improvement functions: Quality Interventions and QI 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, presenting results to management.
• Writes narrative reports interpreting regulatory specifications, explaining programs, and documenting findings.
• Creates and manages documentation for quality functions.
• Leads quality improvement activities and meetings across departments.
• Evaluates activities to identify improvement opportunities.
• Identifies process gaps requiring remediation.
• Performs other assigned tasks.

Job Qualifications

Required Education

Bachelor's Degree or equivalent experience.

Required Experience

• At least 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

Background in Clinical Quality, Public Health, or Healthcare.

Preferred Experience

Experience in Medicare and Medicaid for 1 year.

Preferred Certifications

• CPHQ
• Nursing License (RN preferred for some roles)
• CHCA

Current Molina employees should apply through the intranet. Molina offers competitive benefits. EOE M/F/D/V.

Additional Details

Pay Range: $21.82 - $48.94/hour. Actual pay varies by location, experience, education, and skills.

Seniority Level

• Mid-Senior level

Employment Type

• Full-time

Job Function

• Quality Assurance

Industries

• IT Services and IT Consulting