Specialist, Quality Interventions/QI Compliance (Remote)

Lensa; Tacoma (WA); Remote; Full time

Job summary

A leading company in healthcare is seeking a Specialist in Quality Interventions/QI Compliance. This remote role involves overseeing quality improvement initiatives, ensuring compliance, and leading activities within the organization. The ideal candidate will have a Bachelor's degree and significant healthcare experience, particularly in quality improvement.

Benefits

Competitive Benefits

Qualifications

• At least 3 years of healthcare experience, including 1 year in health plan quality improvement.
• Solid business writing skills.

Responsibilities

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

Skills

Business Writing

Quality Improvement

Healthcare Experience

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 prescribed quality standards, conducts data collection, reporting, and monitoring for key performance measurement activities, and provides direction for NCQA accreditation surveys and federal/state QI compliance activities.

Knowledge/Skills/Abilities

The Specialist, Quality Interventions/ QI Compliance contributes to quality improvement functions including: Quality Interventions and Quality Improvement Compliance.

• Implements key quality strategies, such as 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 and other departments.
• Writes narrative reports interpreting regulatory specifications, explaining programs, and documenting findings and limitations.
• Creates and manages documentation for critical quality improvement functions.
• Leads quality improvement activities and meetings within the organization.
• Evaluates project activities to identify opportunities for improvement.
• Identifies process gaps requiring remediation and reports to management.
• Performs other tasks and projects as assigned.

Job Qualifications

Required Education

Bachelor's Degree or equivalent experience.

Required Experience

• At least 3 years of healthcare experience, including 1 year in health plan quality improvement or managed care.
• Solid business writing skills.
• Operational knowledge of Excel and Visio.

Preferred Education

Field of study: Clinical Quality, Public Health, or Healthcare.

Preferred Experience

Experience in Medicare and Medicaid for at least 1 year.

Preferred Certifications

• Certified Professional in Health Quality (CPHQ)
• Nursing License (RN preferred for some roles)
• Certified HEDIS Compliance Auditor (CHCA)

Current Molina employees interested in this role should apply through the intranet.

Molina Healthcare offers competitive benefits. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Additional Details

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

Seniority Level

Mid-Senior level

Employment Type

Full-time

Job Function

Quality Assurance

Industries

IT Services and IT Consulting