Implements an all-product quality management strategy that meets internal and external constituent expectations for demonstrating quality outcomes.
Participates in the development and ongoing implementation of Quality Management (QM) work plans and activities.
Works to achieve day-to-day objectives for the Health Care Quality Management (QM) function.
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.
Documents QM activities to demonstrate compliance with business, regulatory, and accreditation requirements.
Recommends corrective actions regarding credentialing events and potential quality concerns through clinical analysis.
Performs quantitative and qualitative data analysis to achieve operational targets.
Prepares QM documents that adhere to the interpretation and application of business requirements.
Reports business information to internal and external constituents and consults on solutions for emergent issues.
Make outbound calls to providers and members using exceptional customer service skills
Requirements
Candidates must reside in Oklahoma
Experience in the healthcare industry.
Prior clinical and/or managed care experience in the healthcare industry or quality management.
0-2 years work experience
Microsoft Excel acumen
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisquantitative analysisqualitative analysisquality managementcredentialingcompliance documentationbusiness information reporting