Manager, Quality Improvement – HEDIS

🌍 Remote, USA 💹 Full-time 🕐 Posted Recently

Job Description

    Job Description:
  • Oversee and manage the functions of the quality improvement program
  • Provide support to staff and communicate with departments for daily quality improvement functions
  • Review and analyze reports, records, and directives
  • Confer with staff to obtain data such as new projects and problems encountered
  • Verify data for government program requirements and ensure compliance
  • Prepare reports for management on work function activities
  • Evaluate current procedures and develop improved procedures
  • Collaborate with appropriate departments for complaints and appeals resolution
  • Monitor and analyze costs and participate in budget preparation
    Requirements:
  • Bachelor’s degree in related field or equivalent experience
  • 3+ years clinical, quality management or healthcare related experience
  • 1 year of recent quality improvement and supervisory experience in a healthcare environment, preferably managed care
  • Current state registered nursing license preferred
  • Certification in quality improvement, risk management, or another parallel field is a plus
  • Certified Professional in Healthcare or other licensed clinical experience preferred
    Benefits:
  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules

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