Quality Specialist, II

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $53.1k - $85k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Magellan Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $101M Private Equity Round - Magellan Health Services on 2004-01

Healthcare • Healthcare Insurance

Magellan Health is a healthcare organization focused on behavioral health and care-management services. The company provides clinical care managers, military and family life counselors, and behavioral health services across regional programs (e. g. , Magellan Hawai‘i, Magellan of New Mexico), and supports treatment coordination for mental health and substance abuse conditions. It also offers programs that support military families and other institutional clients, indicating work in managed behavioral health and care coordination.

📋 Description

• Serve as a member of the quality team at the national, regional, or unit level • Coordinate quality and process improvement activities, including accreditation support, quality studies, CQI training, prevention programs, care coordination, satisfaction surveys, advisory groups, adverse incident tracking, performance guarantees, CAPs, and customer-related quality initiatives • Conduct quality control reviews and external/internal audits • Summarize findings and prepare reports • Assist with customer audit preparation • Analyze data findings for quality and process improvement and assist with internal and external customer reports • Lead or support quality committees and work groups through project management • Ensure accurate and timely documentation, agenda presentation, and follow-up actions • Support the quality program and meet customer requirements, performance guarantees, and timely deliverables • Work independently

🎯 Requirements

• 2+ years of HEDIS-related experience, where applicable • 2+ years of quality improvement and auditing or related healthcare experience • Attention to detail and ability to work efficiently to meet deadlines and timelines • High degree of organization • Expertise in data management, data analysis, reporting, word processing, and project management • Strong working knowledge of Microsoft Excel, VISIO, and/or MS Project • Knowledge of HEDIS and accreditation requirements, including NCQA and/or URAC • Knowledge of healthcare quality improvement processes, accreditation standards, and HEDIS/performance measurement • Excellent verbal and written skills • Ability to enter data accurately into spreadsheets and prepare professional documents and reports • Required education: GED or high school • Preferred certification: LSSGB Lean Six Sigma Green Belt or LSSWB Lean Six Sigma White Belt

🏖️ Benefits

• Short-term incentives may be available • Comprehensive benefits package • Health benefits • Life benefits • Voluntary benefits • Other benefits and perks supporting physical, mental, emotional, and financial wellbeing • Equal Opportunity Employer • Tobacco-free workplace

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