Provider Services Quality Specialist - R00000048756 DESCRIPTION/RESPONSIBILITIES:Independently performs quality functions within the Quality Department of a Care Center or office. Coordinates projects resulting in continuous quality improvement and process improvement. Supports the maintenance of a strong quality program, measured processes and reported outcomes. * Coordinates assigned quality and process improvement activities which may include accreditation support, process improvement projects and monitoring of performance guarantees. * Conducts quality control reviews and internal audits. * Summarizes findings and prepare reports on findings. * Assists in the preparation of customer and external audits. Other Job RequirementsResponsibilitiesUp to 2 years of quality improvement and auditing or related in healthcare field.Knowledge of healthcare quality improvement processes and performance measurement.Attention to detail and ability to work efficiently to meet deadlines and timelines.High degree of organization required.Expertise in data management, data analysis, reporting word processing, and project management skills.Strong working knowledge of Microsoft Excel, VISIO and MS Project. General Job InformationTitleProvider Services Quality Specialist Grade21 Work Experience - RequiredQuality Work Experience - PreferredEducation - RequiredEducation - PreferredBachelors - Healthcare License and Certifications - RequiredLicense and Certifications - Preferred 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. Equal Opportunity Employer-minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity
