Quality Compliance Professional 2
3 days ago
Description
• Participate in performance and quality improvement projects • Implement member and provider targeted interventions • Evaluate provider compliance with clinical practice guidelines • Update quality documents and reports • Attend multidisciplinary committee meetings • Build relationships and communicate effectively
Requirements
• 3+ years of previous experience working with member outreach on quality and performance improvement activities • 2+ years previous experience in healthcare quality improvement/quality operations • Knowledge of HEDIS/CMS/Quality • Experience with healthcare quality measures (example HEDIS, CAHPS) • Comprehensive knowledge of Microsoft Office Word, PowerPoint, intermediate Excel experience (pivot tables/filtering, charts, formulas)
Benefits
• Paid time off • 401(k) retirement savings plan • Employee assistance program • Business travel and accident
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