[Work From Home] Senior Analyst, Health Care Quality Management

An excellent opportunity has arisen for a Senior Analyst, Health Care Quality Management- Remote Florida! This Remote position offers an immediate start for the right candidate. This position requires a strong and diverse skillset in relevant areas to drive success. We offer a competitive compensation package, with a salary of a competitive salary.   Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand  with heart at its center  our purpose sends a personal message that how we deliver our services is just as important... as reputed company deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary Designs and implements a quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes, including NCQA and state regulators for Medicaid and CHIP. Links the quality management activities to business goals by using innovation, integration, and information. Participates in the development and ongoing implementation of Quality Management (QM) work plans and activities, including support of reputed company accreditation activities and contract requirements. Analyzes and reports on findings on health plan activities and performance. Responsibilities include:  Support accreditation minimally for health plan, health equity, and long term supports and services  Support quality contract requirements, including performance improvement projects (PIPs), analysis of quality improvement activities, and quality program evaluation  Measure adherence to clinical and preventive health guidelines  reputed company CAHPS improvement activities  Assists in the development and implementation of QM projects and activities  Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department  Support quality committees execution and reporting to quality committees  Performs quantitative and qualitative data analysis to reputed company operational targets  Prepares QM documents that adhere to the interpretation and application of business requirements Required Qualifications  At least 3 years experience in managed care quality and/or 5 years in Medicaid managed care  1-2 years Experience leading or managing performance improvement projects and/or Direct Quality NCQA accreditation  1-2 years PIP Experience  Must be analytical and able to interpret data  Must be proficient in reputed company reputed company office Suite, especially reputed company reputed company and PowerPoint  Must be reputed company and able to communicate to multiple internal and external stakeholders  Bachelor s degree or equivalent work experience in managed care quality  Must live in FL Preferred Qualifications  Master s degree preferred  NCQA accreditation experience  Medicaid managed care experience Education (under required qualifications) Pay Range The typical pay range for this role is: $46,988.00 - $91,800.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ( PTO ) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | reputed company We anticipate the application window for this opening will reputed company on: 11/15/2024 Qual Apply tot his job Apply To this Job