Molina Healthcare

Specialist, Quality Interventions/QI Compliance (Remote in Florida)


PayCompetitive
LocationDoral/Florida
Employment typeFull-Time

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  • Job Description

      Req#: 2029169
      Employer Industry: Healthcare Quality Improvement

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Competitive benefits and compensation package
      - Chance to lead and implement impactful quality improvement initiatives
      - Supportive and collaborative work environment
      - Potential for travel, providing varied work experiences

      What to Expect (Job Responsibilities):
      - Implement key quality strategies, including managing provider, member, and community interventions
      - Monitor and ensure timely completion of key quality activities, presenting results to management
      - Write narrative reports to interpret regulatory specifications and document findings
      - Lead quality improvement activities and discussions with other departments
      - Evaluate project/program activities to identify opportunities for improvement

      What is Required (Qualifications):
      - Bachelor's Degree or equivalent combination of education and work experience
      - Minimum 3 years of experience in healthcare, with at least 1 year in health plan quality improvement or managed care
      - Demonstrated solid business writing experience
      - Operational knowledge and experience with Excel and Visio
      - Must be available for potential travel (0-50% out of office, 0-20% overnight)

      How to Stand Out (Preferred Qualifications):
      - 1 year of experience in Medicare and Medicaid
      - Certified Professional in Health Quality (CPHQ)
      - Nursing License (RN may be preferred for specific roles)
      - Certified HEDIS Compliance Auditor (CHCA)

      #HealthcareQuality #QualityImprovement #CareerOpportunity #TravelOpportunities #CompetitiveBenefits

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      Molina Healthcare is a managed care company headquartered in Long Beach, California, United States.