Specialist, Quality Interventions/QI Compliance (Remote)

Lensa; Vancouver (WA); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Quality Interventions Specialist to enhance healthcare quality improvement initiatives. This remote role involves implementing key strategies, managing compliance activities, and leading discussions across departments. The ideal candidate will have a strong background in healthcare quality, excellent business writing skills, and operational knowledge of tools like Excel and Visio. Join a dynamic team dedicated to improving healthcare standards and making a significant impact on quality assurance programs. This role offers competitive pay and the opportunity to grow within a supportive environment.

Qualifications

• 3+ years in healthcare with 1 year in quality improvement.
• Strong business writing and documentation skills.

Responsibilities

• Implement quality strategies and manage compliance surveys.
• Monitor quality activities and present results to management.

Skills

Quality Improvement

Business Writing

Data Collection

Regulatory Interpretation

Documentation Management

Process Evaluation

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, monitoring, and provides direction for NCQA accreditation surveys and QI compliance activities.

Knowledge/Skills/Abilities

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

• Implements key quality strategies, manages 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 reports interpreting regulations, explaining programs, and documenting findings and limitations.
• Creates and manages documentation for quality functions.
• Leads quality activities and discussions across departments.
• Evaluates projects to identify improvement opportunities.
• Identifies process gaps for 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)
• CHCA

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

Additional Details

• Pay Range: $21.82 - $48.94/hour

Other Information

• Seniority Level: Mid-Senior level
• Employment Type: Full-time
• Job Function: Quality Assurance
• Industries: IT Services and Consulting