Quality Improvement Specialist Job Vacancy in Community Health Choice Houston, TX 77054 – Latest Jobs in Houston, TX 77054 – updated today
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Company Name : Community Health Choice
Location : Houston, TX 77054
Position : Quality Improvement Specialist
Job Description : Responsible for implementing processes in the Quality Improvement department regarding project management, and quality improvement within a managed care organization. Responsibilities include monitoring, tracking, trending, analyzing, and reporting all data, performance measures, and other required information requested by the Health and Human Services Commission (HHSC), Centers for Medicare and Medicaid Services (CMS), Texas Department of Insurance (TDI), or any other accrediting or regulatory bodies. Monitors data and action plans as they relate to projects/programs overseen by the Quality Improvement department. The current projects include but are not limited to HHSC Performance Improvement Projects, HHSC Pay for Quality, Quality Rating System (QRS) Quality Improvement Strategy, Health Plan Accreditation, HEDIS project and Marketplace / Medicare Risk Adjustment projects. Contributes to the design of new or to refine existing initiatives to increase Provider/Member/Partners engagement and improve outcomes. Coordinates cross functional efforts internally and externally as needed to support assigned projects. Supports the department with the collection and analysis of related data/information and in the development of strategies/processes to improve performance outcomes.
MINIMUM QUALIFICATIONS:1. Education/Specialized Training/Licensure: Bachelor’s Degree in Business (BA), Social Work, Health Care, Project Management or related field required. Master’s degree preferred.2. Work Experience (Years and Area): Three (3) years of managed care, health care, or related experience; with a minimum of one year being in Quality Improvement or Project Management
Job Type: Full-time
Pay: $61,000.00 – $73,200.00 per year
Benefits:
401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Life insurance
Paid time off
Referral program
Relocation assistance
Tuition reimbursement
Vision insurance
Physical Setting:
Office
Schedule:
Monday to Friday
Supplemental Pay:
Bonus pay
Ability to commute/relocate:
Houston, TX 77054: Reliably commute or planning to relocate before starting work (Preferred)
Education:
Bachelor’s (Required)
Experience:
quality improvement: 1 year (Required)
Managed care: 3 years (Preferred)
Work Location: One location
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