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Senior QI specialist

Ledgent Technology • San Diego, CA

Posted 1 month ago

Job Snapshot

Contractor
Computer Software
Information Technology

Job Description

- Job Description - Serves as a member of the quality team at the national, regional or unit level.  Coordinates projects resulting in continuous quality improvement and process improvement.  Supports the maintenance of a strong quality program, measured processes including HEDIS (where applicable) and reported outcomes.   ESSENTIAL FUNCTIONS: -  Serves as QI specialist for the quality program with the goal to meet customer requirements and performance guarantees.  Duties include coordinating Quality/ Accreditation/Delegated initiatives and project plans, monitoring and execution to meet timely deliverables.  -  Provides direct interventions with members and providers to address gaps in care. -  Develops, in collaboration with the customer and communication department, informational and training materials for providers and members. -  Coordinates with any vendors outreach and interventions. -  Prepares status reports on activities and outcomes of interventions and activities. -  Consults and trains staff on measurement specifications. -  Provide assistance as needed in data maximization efforts through coordination with the company's Central HEDIS team. -  Coordinates CQI (continuous quality improvement) processes and studies related to improved outcomes. -  Provides interface with customers, National Quality/Clinical and CCOE staff for HEDIS planning, reporting and program enhancements.   - Contract to hire role   Location San Diego, CA   Minimum Qualifications   Education:  Bachelors: Healthcare (Required), Masters: Healthcare *Preference of Master's Level in Public Health   License and Certifications - CA behavioral health license - Required Certified Professional Healthcare Quality (CPHQ) - Preferred   Responsibilities - Behavioral health licensed clinician - 1-3 years of quality improvement and auditing or related in healthcare field - Knowledge of healthcare quality improvement processes and performance measurement - Attention to detail and ability to work efficiently to meet deadlines and timelines - High degree of organization required - Expertise in data management, data analysis, reporting word processing, and project management skills - Experience writing summary reports including qualitative and quantitative analysis - Strong working knowledge of Microsoft Excel, VISIO and MS Project -   We are an equal opportunity employer and make hiring decisions based on merit. Recruitment, hiring, training, and job assignments are made without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, or any other protected classification. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Job Requirements

• Job Description Serves as a member of the quality team at the national, regional or unit level. Coordinates projects resulting in continuous quality improvement and process improvement. Supports the maintenance of a strong quality program, measured processes including HEDIS (where applicable) and reported outcomes. ESSENTIAL FUNCTIONS: • Serves as QI specialist for the quality program with the goal to meet customer requirements and performance guarantees. Duties include coordinating Quality/ Accreditation/Delegated initiatives and project plans, monitoring and execution to meet timely deliverables. • Provides direct interventions with members and providers to address gaps in care. • Develops, in collaboration with the customer and communication department, informational and training materials for providers and members. • Coordinates with any vendors outreach and interventions. • Prepares status reports on activities and outcomes of interventions and activities. • Consults and trains staff on measurement specifications. • Provide assistance as needed in data maximization efforts through coordination with the company's Central HEDIS team. • Coordinates CQI (continuous quality improvement) processes and studies related to improved outcomes. • Provides interface with customers, National Quality/Clinical and CCOE staff for HEDIS planning, reporting and program enhancements. • Requirements/Certifications: PREFERRED QUALIFICATIONS: CA State Behavioral Health Licensure CPHQ Location San Diego, CA Minimum Qualifications Education: Bachelors: Healthcare (Required), Masters: Healthcare •Preference of Master's Level in Public Health License and Certifications - CA behavioral health license - Required Certified Professional Healthcare Quality (CPHQ) - Preferred Responsibilities •Behavioral health licensed clinician •1-3 years of quality improvement and auditing or related in healthcare field •Knowledge of healthcare quality improvement processes and performance measurement •Attention to detail and ability to work efficiently to meet deadlines and timelines •High degree of organization required •Expertise in data management, data analysis, reporting word processing, and project management skills •Experience writing summary reports including qualitative and quantitative analysis •Strong working knowledge of Microsoft Excel, VISIO and MS Project
Job ID: JO-1904-56063
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