What are the responsibilities and job description for the National Committee for Quality Assurance Specialist - Michigan or Indiana Residency Required position at McLaren Integrated HMO Group?
About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
National Committee for Quality Assurance Specialist - Michigan or Indiana Residency Required
Michigan, Flint
NEW
Non-Health Professional
McLaren Integrated HMO Group
25000363
We are looking for a National Committee for Quality Assurance Specialist (NCQA Specialist), to join us in leading our organization forward.
McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.
McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org
MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/
Position Summary:
The NCQA Specialist coordinates quality improvement activities and supports various functions within the scope of the Plan quality improvement program, working both independently and as a team member. The functions may include but are not limited to committee support; regulatory and accreditation standard adherence; delegation oversight; performance monitoring and assessment; data collection and analysis; and the continual advancement of the quality improvement process to achieve the Health Plan's goals of excellence.
This position requires Michigan or Indiana Residency.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
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Qualifications:
Required:
- Associate degree in a health care field or equivalent work.
- 4 years’ experience with a government regulated health organization or a managed care setting with at least two (2) years’ experience performing complex quality management activities including HEDIS, NCQA etc.
Preferred:
- Experience writing quantitative and qualitative analysis.
- Bachelor’s or master’s degree in healthcare or related field.
- Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations HEDIS specifications; the managed care environment and the basic tenets of continuous quality improvement.
Additional Information
- Schedule: Full-time
- Requisition ID: 25000363
- Daily Work Times: 8:00 am - 5:00 pm
- Hours Per Pay Period: 80
- On Call: No
- Weekends: No
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
