Be an early applicantLess than 25 applicantsPosted by Agency

Company

Molina Healthcare · 7 hours ago

Specialist, Quality Interventions/QI Compliance (Remote in Florida)

Miami, FL

Full-time

Remote

Mid Level

$21.82/hr - $42.55/hr

3+ years exp

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Responsibilities

Implements key quality strategies, which may include initiation and management of provider, member and/or community interventions (e.g., removing barriers to care); preparation for Quality Improvement Compliance surveys; and other federal and state required quality activities.

Monitors and ensures that key quality activities are completed on time and accurately to present results to key departmental management and other Molina departments as needed.

Writes narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions.

Creates, manages, and/or compiles the required documentation to maintain critical quality improvement functions.

Leads quality improvement activities, meetings, and discussions with and between other departments within the organization.

Evaluates project/program activities and results to identify opportunities for improvement.

Surfaces to Manager and Director any gaps in processes that may require remediation.

Other tasks, duties, projects, and programs as assigned.

Qualification

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Healthcare experienceQuality improvement complianceBusiness writingExcelVisioMedicare experienceMedicaid experienceCPHQ certificationNursing LicenseCHCA certificationClinical QualityPublic Health

Required

Bachelor's Degree or equivalent combination of education and work experience.

Min. 3 years’ experience in healthcare with 1 year experience in health plan quality improvement, managed care, or equivalent experience.

Demonstrated solid business writing experience.

Operational knowledge and experience with Excel and Visio (flow chart equivalent).

Preferred

Preferred field: Clinical Quality, Public Health or Healthcare.

1 year of experience in Medicare and in Medicaid.

Certified Professional in Health Quality (CPHQ)

Nursing License (RN may be preferred for specific roles)

Certified HEDIS Compliance Auditor (CHCA)

Company

Molina Healthcare

Glassdoor

3.4

Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.

Founded in 1980

Long Beach, California, USA

10001+ employees

https://careers.molinahealthcare.com

H1B Sponsorship

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Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2023 (33)

2022 (36)

2021 (33)

2020 (60)