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Senior QI specialist

Date Posted: 4/12/2019

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Job Description

  • Job Description
  • Serves as a member of the quality team at the national, regional or unit level.  Coordinates projects resulting in continuous quality improvement and process improvement.  Supports the maintenance of a strong quality program, measured processes including HEDIS (where applicable) and reported outcomes.
     
    ESSENTIAL FUNCTIONS:
    -  Serves as QI specialist for the quality program with the goal to meet customer requirements and performance guarantees.  Duties include coordinating Quality/ Accreditation/Delegated initiatives and project plans, monitoring and execution to meet timely deliverables. 
    -  Provides direct interventions with members and providers to address gaps in care.
    -  Develops, in collaboration with the customer and communication department, informational and training materials for providers and members.
    -  Coordinates with any vendors outreach and interventions.
    -  Prepares status reports on activities and outcomes of interventions and activities.
    -  Consults and trains staff on measurement specifications.
    -  Provide assistance as needed in data maximization efforts through coordination with the company's Central HEDIS team.
    -  Coordinates CQI (continuous quality improvement) processes and studies related to improved outcomes.
    -  Provides interface with customers, National Quality/Clinical and CCOE staff for HEDIS planning, reporting and program enhancements.
     
  • Contract to hire role
     
    Location San Diego, CA
     
    Minimum Qualifications
     
    Education: 
    Bachelors: Healthcare (Required), Masters: Healthcare
    *Preference of Master's Level in Public Health
     
    License and Certifications -
    CA behavioral health license - Required
    Certified Professional Healthcare Quality (CPHQ) - Preferred
     
    Responsibilities
  • Behavioral health licensed clinician
  • 1-3 years of quality improvement and auditing or related in healthcare field
  • Knowledge of healthcare quality improvement processes and performance measurement
  • Attention to detail and ability to work efficiently to meet deadlines and timelines
  • High degree of organization required
  • Expertise in data management, data analysis, reporting word processing, and project management skills
  • Experience writing summary reports including qualitative and quantitative analysis
  • Strong working knowledge of Microsoft Excel, VISIO and MS Project
  •  


We are an equal opportunity employer and make hiring decisions based on merit. Recruitment, hiring, training, and job assignments are made without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, or any other protected classification. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Job Requirements

Behavioral health licensed clinician
1-3 years of quality improvement and auditing or related in healthcare field
Knowledge of healthcare quality improvement processes and performance measurement
Attention to detail and ability to work efficiently to meet deadlines and timelines
High degree of organization required
Expertise in data management, data analysis, reporting word processing, and project management skills
Experience writing summary reports including qualitative and quantitative analysis
Strong working knowledge of Microsoft Excel, VISIO and MS Project
Posted By: rsankar@rothstaffing.com

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Job Snapshot

  • Employee Type:Full-Time
  • Location:San Diego, CA
  • Job Type:I.T.
  • Experience:Not Specified
  • Education:Not Specified
  • Date Posted:4/12/2019
  • Contact: Remya Nediyapparambu Sankar (480) 966-0090
  • Pay Range: $0.00 - $0.00 Annually
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Job Reference: JO-1904-56063