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


PayCompetitive
LocationDoral/Florida
Employment typeFull-Time

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  • Job Description

      Req#: 300001232894425
      Employer Industry: Healthcare Quality Improvement

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Engaging work focused on improving healthcare quality and compliance
      - Competitive benefits and compensation package
      - Chance to lead quality improvement initiatives and impact healthcare delivery
      - Travel opportunities for professional engagement and collaboration

      What to Expect (Job Responsibilities):
      - Implement key quality strategies and manage provider, member, and community interventions
      - Monitor and ensure timely completion of key quality activities for departmental management
      - Write narrative reports interpreting regulatory specifications and documenting findings
      - Create and manage required documentation for quality improvement functions
      - Lead quality improvement activities and discussions across departments

      What is Required (Qualifications):
      - Bachelor's Degree or equivalent combination of education and work experience
      - Minimum 3 years' 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
      - Willingness to travel out of office approximately 0 - 50% of the time

      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)
      - Preferred field of study in Clinical Quality, Public Health, or Healthcare

      #HealthcareQuality #QualityImprovement #CareerGrowth #HealthcareCompliance #TravelOpportunities

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      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

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