Quality Incentive Consultant
New
Candidates must reside in the state of TN.Full-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 4 years - Quality improvement experience required, 2 years - Experience in the healthcare industry required, 1 year - Comprehensive knowledge base crossing all areas within Medicare, HEDIS and CMS Stars program
- Required Skills
- Data AnalysisMicrosoft Office
Requirements
- Bachelor's Degree in a health-related discipline (Nursing, Dietetics, Exercise Science, Counseling, Social work, or Health Education) or equivalent work experience.
- 4 years of quality improvement experience.
- 2 years of experience in the healthcare industry.
- 1 year of comprehensive knowledge covering Medicare, HEDIS, and CMS Stars programs.
- Proficiency in Microsoft Office (Outlook, Word, Excel, and PowerPoint).
- Ability to effectively present to and influence senior leadership and provider partners.
- Strong analytical and problem-solving skills with the ability to manage multiple priorities.
- Demonstrated understanding of the consumer healthcare market.
- Ability to travel approximately 60% of the time.
- Must reside in the state of TN.
Responsibilities
- Partner with provider groups, clinical teams, and operational leaders to identify opportunities and design sustainable improvement strategies.
- Work with contracted providers to resolve data issues related to quality programs.
- Educate contracted providers and their staff on clinical quality program updates and policies.
- Present on quality measures, clinical documentation, and technology procedures.
- Collaborate with supervisors to update policies and procedures to improve program operations.
- Leverage data-driven insights and AI technology to enhance quality and efficiency.
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