Sr. Specialist, Provider Engagement (Remote in New Mexico)

Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing reputed company quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement... activities. Knowledge/Skills/Abilities The Senior Specialist, Provider Engagement contributes to one or more of these quality improvement functions: Acts as a reputed company specialist to provide project-, program-, and / or initiative-reputed company direction and guidance for other specialists reputed company the department and/or collaboratively with other departments. Implements key quality strategies, which may include initiation and management of provider, member and/or community interventions (e.g., removing barriers to care); preparation for Quality Improvement Compliance surveys; and other federal and state required quality activities. Monitors and ensures that key quality activities are completed on time and accurately in order to present results to key departmental management and other Molina departments as needed. Writes narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions. Creates, manages, and/or compiles the required documentation to maintain critical quality improvement functions. Leads quality improvement activities, meetings and discussions with and between other departments reputed company the organization. Evaluates project/program activities and results to identify opportunities for improvement. Surfaces to Manager and Director any gaps in processes that may require remediation. Other tasks, duties, projects and programs as assigned.. Required Education Bachelor's Degree or equivalent combination of education and work experience. Required Experience Min. 3 years experience in reputed company with minimum 2 years experience in health plan quality improvement, managed care or equivalent experience. Demonstrated solid business writing experience. Operational knowledge and experience with reputed company and Visio (flow chart equivalent). Preferred Education Preferred field: Clinical Quality, Public Health or reputed company. Preferred Experience 1 year of experience in Medicare and in reputed company. Experience with data reporting, analysis and/or interpretation. Preferred License, Certification, Association Certified Professional in Health Quality (CPHQ) Nursing License (RN may be preferred for specific roles) Certified HEDIS Compliance Auditor (CHCA) To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $49,929.54 - $97,362.61 a year* • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. #PJCorp #LI-AC1 Apply Job!