Sr Specialist, Quality Interventions/QI Compliance (Remote in MS)

About the positionResponsibilities• Provide project, program, and initiative-related direction and guidance for other specialists within the department and collaboratively with other departments. • Implement key quality strategies, including management of provider, member, and community interventions. • Prepare for Quality Improvement Compliance surveys and other required quality activities. • Monitor and ensure timely and accurate completion of key quality activities, presenting results to management as needed.• Write narrative reports interpreting regulatory specifications and documenting findings of department interventions. • Create and manage documentation to maintain critical quality improvement functions. • Lead quality improvement activities and discussions with other departments. • Evaluate project/program activities to identify opportunities for improvement. • Report any gaps in processes to the Manager and Director. Requirements• Bachelor's Degree or equivalent combination of education and work experience.• Minimum 3 years' experience in healthcare, with at least 2 years in health plan quality improvement or managed care. • Demonstrated solid business writing experience. • Operational knowledge and experience with Excel and Visio. Nice-to-haves• Preferred field: Clinical Quality, Public Health or Healthcare. • 1 year of experience in Medicare and Medicaid. • Experience with data reporting, analysis, and interpretation. • Active, unrestricted CertifiedProfessional in Health Quality (CPHQ). • Active, unrestricted Nursing License (RN may be preferred for specific roles).• Active, unrestricted Certified HEDIS Compliance Auditor (CHCA). Benefits• Competitive benefits and compensation package. Apply tot his job