Sr. Quality Specialist, MFLC
WFA Digital Insight
The demand for quality specialists in the healthcare industry has grown significantly, with a 25% increase in job openings over the past year. As the healthcare landscape continues to evolve, companies like Magellan Health are looking for skilled professionals to drive quality improvement initiatives. With the rise of remote work, this role offers a unique opportunity to work with a leading healthcare organization from the comfort of your own home. To succeed in this role, candidates will need to possess strong analytical skills, attention to detail, and excellent communication skills. With the healthcare industry expected to continue its growth trajectory, this role is an exciting opportunity for professionals looking to make a meaningful impact.
Job Description
About the Role
The Sr. Quality Specialist, MFLC role is a critical component of Magellan Health's quality team, responsible for driving continuous quality improvement initiatives across the organization. As a key member of the team, you will work closely with cross-functional stakeholders to identify areas for improvement, develop and implement process enhancements, and monitor progress towards quality goals. This role will provide you with the opportunity to work with a leading healthcare organization, making a meaningful impact on the lives of patients and families.The Sr. Quality Specialist, MFLC role is a remote position, allowing you to work from the comfort of your own home. You will be expected to work independently, with minimal supervision, and collaborate with team members to achieve shared goals. With a strong focus on quality and process improvement, this role is ideal for professionals with a passion for healthcare and a drive to make a difference.
What You Will Do
- Conduct audits of operational procedures, processes, and reported outcomes to identify areas for improvement
- Develop and implement quality improvement plans to address gaps and increase compliance with contractual requirements
- Lead and perform all aspects of audit processes, including planning, testing, data collection, and analysis
- Prepare objective, factual reports of audit outcomes, including best practices, opportunities for improvement, training needs, and future risks
- Coordinate with vendors on outreach and interventions
- Prepare status reports on activities and outcomes of interventions and activities
- Support monthly, quarterly, and annual reporting and trending of performance measures
- Support survey administration and collection of responses
- Provide documentation for quality reports required by the contract
- Collaborate with cross-functional stakeholders to identify areas for improvement and develop process enhancements
- Monitor progress towards quality goals and adjust strategies as needed
What We Are Looking For
- 3-5 years of experience in quality improvement, preferably in a healthcare setting
- Knowledge of quality improvement processes and principles
- Strong analytical and problem-solving skills, with attention to detail and ability to work efficiently to meet deadlines
- Excellent verbal and written communication skills, with ability to enter data accurately into spreadsheets 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, with ability to collect and analyze data
- High degree of organization, with ability to prioritize tasks and manage multiple projects simultaneously
- Bachelor's degree in a related field, preferably in healthcare or a related field
Nice to Have
- Master's degree in a related field, preferably in healthcare or a related field
- Certified Professional in Healthcare Quality (CPHQ) certification
- Lean Six Sigma Black Belt certification
- Experience working with Adjust and Excel
- Knowledge of healthcare regulations and standards
Benefits and Perks
- Competitive salary range, with opportunities for growth and advancement
- Comprehensive benefits package, including health, life, and voluntary benefits
- Remote work arrangement, with flexible scheduling and work-life balance
- Opportunities for professional development and continuing education
- Collaborative and dynamic work environment, with a team of experienced professionals
How to Stand Out
- Make sure to highlight your experience with quality improvement processes and principles in your application
- Be prepared to discuss your analytical and problem-solving skills, and provide examples of how you've applied them in previous roles
- Familiarize yourself with Salesforce and Microsoft Office platforms, and be prepared to discuss your proficiency with these tools
- Emphasize your attention to detail and ability to work efficiently to meet deadlines, as these skills are crucial in this role
- Consider obtaining certifications such as CPHQ or Lean Six Sigma Black Belt to enhance your application and demonstrate your commitment to the field
- Research Magellan Health and the healthcare industry to demonstrate your knowledge and interest in the field
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