Specialist, Quality Interventions/QI Compliance (Remote)

Lensa; Provo (UT); Remote; Full time

Job summary

A leading company is seeking a Specialist in Quality Interventions/QI Compliance to oversee healthcare quality improvement initiatives. The role involves monitoring quality activities, preparing compliance surveys, and leading discussions across departments. Ideal candidates will have a Bachelor's degree and experience in healthcare quality improvement.

Benefits

Competitive Benefits

Qualifications

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

Responsibilities

• Implementing key quality strategies and preparing for compliance surveys.
• Monitoring quality activities and reporting results to management.

Skills

Business Writing

Quality Improvement

Data Analysis

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; maintains programs for members according to 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 including:

• Implementing key quality strategies such as provider, member, and community interventions, and preparing for Quality Improvement Compliance surveys.
• Monitoring and ensuring timely and accurate completion of quality activities, and reporting results to management.
• Writing narrative reports to interpret regulations, explain programs, and document findings.
• Creating and managing documentation for quality functions.
• Leading quality improvement activities and discussions across departments.
• Evaluating project outcomes to identify improvement opportunities.
• Reporting process gaps needing remediation.
• Performing other assigned tasks and projects.

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

Field: Clinical Quality, Public Health, or Healthcare.

Preferred Experience

Experience in Medicare and Medicaid for at least 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. Equal Opportunity Employer.

Additional Details

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

Seniority Level

• Mid-Senior level

Employment Type

• Full-time

Job Function

• Quality Assurance

Industries

• IT Services and Consulting