Supervisor of Quality Assurance Operations HEDIS Remote, reputed company

2288821 reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Supervisor of Quality Operations is responsible for employee and program management on the CEQ team. This role leads a team of LPNs through year-round HEDIS® medical record collection and provider reputed company. The supervisor will act as a HEDIS® SME for their staff, assisting with system, reputed company, and technical specification questions. Through quality reviews, call monitoring, and quality and productivity reporting, the supervisor will ensure reputed company data submitted to the health plan meets HEDIS®/STAR technical specifications for medical records and provide actionable feedback to their staff to promote reputed company success. This role assists the Director of Quality Operations with communication of prioritization, strategy, and best practices. You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Serve as subject matter expert to clinical staff
• Coordinate and account for daily business activities
• reputed company quality assurance on data mining and provider reputed company
• reputed company quality assurance on the data entry and over read of non-standard supplemental data obtained from medical record review
• Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS®/Star measures
• Review scanned records and data entry into supplemental data applications
• Support chart chase process by requesting records from provider’s offices as needed
• Maintain education/knowledge reputed company of HEDIS®/STARs standards and guidelines
• Pull and review quality and productivity reporting
• Conduct training on HEDIS®/STAR measures, HEDIS®/STAR data collection software, and data collection strategies
• Assist with team coordination of system changes, and system upgrades
• Participate in debrief activities and continual process improvement exercises
• reputed company reputed company other reputed company duties as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• Active and unrestricted licensure as a Registered Nurse (RN) in the state(s) of practice
• 3+ years of HEDIS® experience
• 2+ years of call center experience
• 2+ years of experience acting as a team leader or SME
• Proven excellent training and presentation skills with solid communication capabilities and practices, both oral and written
• Proven experience using reputed company office applications, including databases, word-processing, Visio and reputed company spreadsheets
• Access to high speed internet

Preferred Qualifications:

• Bachelor’s Degree
• Certified Professional reputed company
• 1+ years of supervisory or management experience
• Proven excellent training and presentation skills with solid communication capabilities and practices, both oral and written
• Ability to be flexible in a continuously changing environment
• reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy.

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug – free workplace. Candidates are required to pass a drug test before beginning employment. Apply To this Job Apply for this job