Quality Analyst (HEDIS)

Job Number:

21-00588

Location:

Remote

Onsite Flexibility:

Remote

Job Description

*Remote Opportunity*
Qualifications:

  • Bachelor’s degree in nursing and an RN licensure in state of residence
  • 3 years of experience in healthcare/insurance or with an emphasis on provider-focused quality improvement initiatives
  • 1 year of experience with HEDIS
  • Experience with quality improvement and training highly preferred
  • Proven problem-solving ability with a creative initiative
  • Ability to manage multiple assignments with critical deadlines
  • Strong organizational and communication skills, both verbal and written
  • Independent productivity, analytical, and strong PC skills
  • Experience with MS Office (Excel, Word, PowerPoint)
  • Proven leadership ability
  • Customer service oriented
  • Background in quality improvement initiatives and training
  • Candidate may be required to have various immunizations and/or associated medical tests for this position

Preferred:

  • Professional in Healthcare Quality (CPHQ)

Responsibilities:

  • Assess effectiveness of and create and/or disband/combine clinically focused workgroups as appropriate to support the overall priorities and strategies for HEDIS and health outcomes
  • Manage, assist, and support clinical quality improvement studies, activities, and projects
  • Participate in the development and implementation of new clinical projects to support continuous quality improvement
  • Identify potential vulnerabilities and opportunities for improvement
  • Conduct evidence-based literature research to guide and support clinical quality improvement studies and activities
  • Develop supporting presentations and coordinate with workgroups and project teams
  • Analyze, research, and establish problem resolution techniques; identify problems, determine root cause, and recommend consistent quality improvement solutions
  • Monitor quality performance measures and make recommendations for corrective action
  • Conduct ongoing continuous quality improvement training as appropriate, including online client training
  • Support management in the areas of continuing education, quality sampling, and preparing reports
  • Establish and maintain a quality database containing information from quality monitoring
  • Review reports and identify trends that need to be addressed/or reported
  • Assist supervisors with monitoring and training of new employees
  • Assess problem areas and provide recommendations for improvements
  • Design policies/procedures that initiate time and cost-effective process improvements
  • Ensure recommendations, QI initiatives, and procedures are appropriately communicated throughout division
  • Maintain knowledge of current trends and developments in quality improvement techniques
  • Constantly search for ideas that deliver high value at low cost
  • Manage numerous activities simultaneously
  • Ensure division compliance with regulatory bodies as required

Location: Remote
Seeking candidates from these locations: AL, GA, NC, AR, MS, KY, TN

21-00588
Quality Analyst (HEDIS)

TM Floyd & Company offers a generous array of benefits, depending on the length of assignment. We also offer a referral bonus of up to $1,000. Ask us for more details!

TM Floyd & Company participates in E-VERIFY
AAP, EEO

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