RESPONSIBILITIES:
Kforce has a client that is seeking a Quality Improvement Specialist in Sunrise, FL.Position Purpose:The Quality Improvement Specialist will support the development and maintenance of quality improvement related projects and reporting. The candidate will also respond to quality improvement inquiries.Day to Day Responsibilities of this Position and Description of Project:Provide administrative support to the Quality Department with Medical Record requests during the HEDIS Project including but not limited to:- Preparing and sending medical record requests to provider offices
- Processing of records including separating pdfs and naming files
- Outreaching to provider offices via phone or fax to request medical records
- Navigating multiple computer systems to create record requests or upload medical records
- Assisting with other administrative tasks related to the HEDIS project as needed
- Heavy chart monitoring and auditing of medical records
- Monitor the production of quality results reporting; Analyze, track and trend the reporting results and report them to management
- Formulate and prepare ad-hoc and additional reporting requirements
- Recommend, develop, and implement quality improvement plans with management
- Train providers and staff in methodologies and tools of continuous quality improvement
- Prepare for and participate in meetings with State agencies, providers, and stakeholders
- Perform audits on to meet state and internal requirements
REQUIREMENTS:
- Bachelor's degree in related field or equivalent experience
- Certified Professional in Healthcare Quality (CPHQ) preferred
- 3+ years of related experience
- Valid driver's license
The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.
We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability & ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.
Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless and until paid and may be modified in its discretion consistent with the law.
This job is not eligible for bonuses, incentives or commissions.
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
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