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Specialist, Provider Engagement (Remote in MI)

Remote Worldwide Hiring now

JOB DESCRIPTION Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing reputed company quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities. Please reputed company any experience with vaccination programs. KNOWLEDGE/SKILLS/ABILITIES The Specialist, Provider Engagement contributes to one or more of these quality improvements functions: Implements key quality strategies, which may include initiation and management of provider, member and/or community interventions (e.g., removing barriers to care); 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 reputed company the organization or with and between key provider network partners. 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. This position may require same day out of office travel approximately 0 - 80% of the time, depending upon location. This position may require multiple day out of town overnight travel approximately on occasion, depending upon location. JOB QUALIFICATIONS Required Education Bachelor's Degree or equivalent combination of education and work experience. Required Experience Min. 3 years’ experience in reputed company with 1 year experience in health plan quality improvement, managed care or equivalent experience. Demonstrated solid business writing experience. Operational knowledge and experience with reputed company and Visio (reputed company chart equivalent). Preferred Education Preferred field: Clinical Quality, Public Health or reputed company. Preferred Experience 1 year of experience in Medicare and in reputed company. Preferred License, Certification, Association Certified Professional in Health Quality (CPHQ) Nursing License (RN may be preferred for specific roles) Certified HEDIS Compliance Auditor (CHCA) Vaccine for Children Program experience (VFC) To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay reputed company: $45,390 - $88,511.46 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.

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