Retail β’ Pharmacy Benefits Management β’ Health Insurance β’ Health Care β’ Pharmacy
10,000+
2 days ago
Retail β’ Pharmacy Benefits Management β’ Health Insurance β’ Health Care β’ Pharmacy
10,000+
β’ Designs and implements a quality management strategy meeting constituent expectations. β’ Participates in development and implementation of Quality Management plans and accreditation activities. β’ Analyzes and reports on health plan activities and performance. β’ Supports accreditation for health plan, health equity, and long-term services. β’ Measures adherence to clinical preventive health guidelines. β’ Leads CAHPS improvement activities. β’ Performs quantitative and qualitative data analysis to meet operational targets.
β’ At least 3 years experience in managed care quality and/or 5 years in Medicaid managed care. β’ 1-2 years leading/managing performance improvement projects and/or direct quality NCQA accreditation. β’ Must be analytical and able to interpret data. β’ Proficient in Microsoft Office Suite, especially Excel and PowerPoint. β’ Must communicate effectively with internal and external stakeholders. β’ Bachelor's degree or equivalent work experience in managed care quality. β’ Must live in FL.
β’ Full range of medical, dental, and vision benefits. β’ 401(k) retirement savings plan. β’ Employee Stock Purchase Plan available. β’ Fully-paid term life insurance plan. β’ Short-term and long-term disability benefits. β’ Well-being programs, education assistance, and free development courses. β’ CVS store discounts and partner discount programs. β’ Paid Time Off (PTO) and paid holidays.
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