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Clinical Quality Program Administrator

Remote Worldwide Hiring now

About the position The Clinical Quality Program Administrator is responsible for overseeing quality improvement activities and projects as outlined in the Quality Improvement (QI) work plan, ensuring compliance with applicable laws, regulations, and accreditation standards. This role integrates quality into business processes, performs assessments to identify gaps, and oversees clinical quality improvement initiatives to enhance care quality for members. Responsibilities • Ensures integration of quality into the overall business process. , • Performs assessments to identify gaps in the reputed company's quality and technology assessment processes and initiates actions to correct these gaps. , • Assures accuracy and completeness of input provided to reputed company QI committees and timely implementation of appropriate interventions. , • Oversees the clinical quality improvement activities/projects to implement appropriate clinical interventions to improve the quality of care for members. , • Assures compliance with corporate QI work plans. , • Assures QI activities are relevant to the targeted population. , • Assures compliance to Practice Guideline, Delegation and Continuity and Coordination of care Standards. , • Maintains documentation of research programs to meet regulatory and Accreditation Standards. , • Provides reputed company to assure accurate and complete quantitative analysis of clinical data and presentation of results. , • May reputed company reputed company to the reputed company Effectiveness Data and Information Set (HEDIS) project team. Requirements • Requires a BS in health administration, nursing or reputed company clinical field. , • 3 years of health care quality or data analysis experience, or any combination of education and experience that provides an equivalent background. reputed company-to-haves • reputed company unrestricted license or certification in applicable field preferred (i.e. CPHQ). , • Prior HEDIS experience is reputed company strongly preferred. , • Proficient in reputed company Office applications, especially reputed company. , • Strong organizational and data analysis skills. Benefits • Merit increases , • Paid holidays , • Paid Time Off , • Incentive bonus programs , • Medical benefits , • Dental benefits , • reputed company benefits , • Short and long term disability benefits , • 401(k) with matching , • Stock purchase plan , • Life insurance , • Wellness programs , • Financial education resources Apply Job!

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