2024-04-18
Molina Healthcare (https://careers.molinahealthcare.com/)
Other
/yr
full-time
employee
United States
JOB TITLE: Sr. Specialist, Quality Improvement RN (REGISTERED NURSE)
For this position we prefer someone with 5 - 7 years clinical experience and prior managed care. It will be very important to have excellent professional writing skills, and solid critical thinking skills. Must have RN licensure, unrestricted.
WORK SCHEDULE: Normal business hours in your local time zone ( 8:00AM to 5:00PM) availability to flex to accommodate projects / meetings in other time zones. Some holidays and weekends may be required. Please consider these parameters before applying to this position.
This is a remote based position, and you can work from home.
JOB DESCRIPTION
Job Summary
Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.
KNOWLEDGE/SKILLS/ABILITIES
The Senior Specialist, Quality Improvement (Registered Nurse) contributes to one or more of these quality improvements functions: Quality Interventions, Quality Improvement Compliance, HEDIS, and / or Quality Reporting.
Quality Intervention / QI Compliance
JOB QUALIFICATIONS
Required Education
Bachelor's degree in nursing or higher
Required Experience
Min. 3 years’ experience in healthcare with minimum 2 years’ experience in health plan quality improvement, managed care, or equivalent experience.
Required License, Certification, Association
Active and unrestricted RN license for the State(s) of employment
Preferred Education
Preferred field: Clinical Quality, Public Health or Healthcare. Nursing: Master's or higher
Preferred Experience
Preferred License, Certification, Association
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer
(EOE) M/F/D/V.
Pay Range: $49,430.25 - $107,098.87 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.