This position will follow Eastern Standard Time (EST) business hours.
Serves as a member of the quality team for the Military & Family Counseling Program. Conducts audits of operational procedures, processes, and reported outcomes. Recommends and participates in continuous quality and process improvement activities. Supports the maintenance of a
strong quality program.
- Serves as quality improvement specialist for the quality program with the goal to meet contractual requirements and performance guarantees.
- Duties include evaluating current processes; conducting gap analyses, and recommending/participating in quality improvement activities to address gaps and increase compliance with contractual requirements.
- Leads and performs all aspect of audit processes, including planning, testing, data collection and analysis.
- Prepares objective, factual reports of audit outcomes including best practices, opportunities for improvement, training needs, future risks.
- Develops/revises operational policies and procedures and instructional materials after mitigation/correction activities are determined. Coordinates with any vendors outreach and interventions.
- Prepares status reports on activities and outcomes of interventions and activities.
- Supports monthly, quarterly and annual reporting and trending of performance measures identified on the Quality Control Plan.
- Supports survey administration and collection of responses.
- Provides documentation for quality reports required by the contract.
The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.
Other Job Requirements
Responsibilities
3-5 years of experience in quality improvement.
Knowledge quality improvement processes.
Attention to detail and able to work efficiently to meet deadlines and timelines.
High degree of organization required.
Excellent verbal and written skills and the ability to enter data accurately into spread sheets and prepare professional looking documents and reports.
Proficient in data management, data analysis, reporting word processing, and project management., preferably with Salesforce and Microsoft office platforms.
Basic statistical skills.
General Job Information
Title
Sr. Quality Specialist, MFLC (Remote)
Grade
26
Work Experience - Required
Quality
Work Experience - Preferred
Education - Required
Bachelor's - Healthcare
Education - Preferred
Master's - Healthcare
License and Certifications - Required
License and Certifications - Preferred
CPHQ - Certified Professional In Healthcare Quality - Care MgmtCare Mgmt, LSSBB - Lean Six Sigma Black Belt Certification - EnterpriseEnterprise, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtCare Mgmt
Salary Range
Salary Minimum:
$70,715
Salary Maximum:
$113,145
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
