Healthcare - PIP Specialist I-REMOTE

Job Details

Are you passionate about improving the quality of healthcare?

Are you ready to leverage your talents to make healthcare better for everyone?

Do you want the opportunity to give back to your community?

Do you want to have fun at work ?

Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!

Summary

Under minimal direction, independently validates performance improvement projects across all plan types.

Essential Competencies, Duties and Responsibilities

• Reviews and validates MCOs PIPs according to Protocol 1. Validation of Performance Improvement Projects : A Mandatory EQR-Related Activity, February 2023, and approved state timeline.
• Knowledge of methodologic soundness of PIP design, statistical analysis, interpretation of results, quality improvement tools and processes, and intervention initiation and evaluation.
• Ability to translate PIP submission and validation outcomes into written validation reports.
• Serves as a technical resource for the MCOs.
• In collaboration with PIP team lead, facilitates conference calls with state and MCO staff to provide technical assistance and guidance on PIP validation feedback and required documentation.
• Ability to work on multiple PIPs in a collaborative team environment.
• Ability to organize assigned PIPs and meet all deliverable timelines.
• Accountable for the timeliness, completeness, accuracy, and quality of all assigned functions and tasks.
• Represent HSAG in a professional manner, at all times.

Compensation : 64K-77K / annually

Job Requirements :

Education and / or Experience

• Bachelor's degree in a health-care related field or an equivalent combination of education and experience.
• Minimum of 2-3 years of healthcare quality improvement experience.

Other Qualifications

• Health plan experience related to quality improvement is preferred.
• Quality improvement review / validation and analytical experience preferred.
• Familiarity with Windows environment.
• Excellent oral and written communication and interpersonal skills.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

HSAG All User Information Security Responsibilities

All workforce members, volunteers, contractors or third-party agents of HSAG, Inc. who are authorized to access information systems and / or associated company data on paper or in electronic format are responsible for the following :

Adhering to policies, procedures and guidelines pertaining to the protection of HSAG Company Data.

Reporting actual or suspected breaches or vulnerabilities in the confidentiality, integrity or availability of HSAG Data to your immediate supervisor / manager, Corporate Compliance or Information Technology / Security Personnel.

Reporting actual or suspected breaches or vulnerabilities in confidentiality, integrity or availability of Corporate Data, may be reported anonymously, via the NAVEX Global Compliance hotline at

1-800-992-9892

HSAG publishes various policies, guidelines and procedures related to the protection of Corporate Data and Information Systems.

They can be found on the corporate SharePoint website. Information on requirements that may be unique to your business unit or a system you have access to can be found by talking to your supervisor / manager or designated system administrator.

Disclaimer

This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position.

While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.

g., emergencies, changes in personnel, workload, rush jobs requiring non-regular work hours, or technological developments).

HSAG is an EEO Employer of Veterans protected under Section 4212.

If you have special needs and require assistance completing our employment application process, please feel free to contact us.

EOE M / F / Veteran / Disability

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