Vacancy expired!
Clinical Quality Compliance Admin - Fresno, CA. -PS26344Location: United StatesNewRequisition #: PS26344Your Talent. Our Vision. At Anthem, Inc. , it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.Clinical Quality Compliance Admin -Fresno, CA. - PS26344Summary: The Clinical Quality Compliance Admin is responsible for coordinating Quality Management (QM) activities related to compliance and accreditation for an assigned SBU.Primary duties may include, but are not limited to:
Develops and maintains pertinent quality improvement plans.
Monitors adherence to plans and prepares status reports.
Identifies quality improvement opportunities and implements related activities.
Ensures all improvement activities are updated as regulatory and quality standards change.
Implements standardization of quality improvement procedures and documentation within SBU.
Develops and delivers executive level presentations and represents senior management on quality improvement issues and related committees.
Qualifications:
Requires a BA/BS; 3 years of quality improvement experience; or any combination of education and experience, which would provide an equivalent background.
Experience with regulatory/quality improvement standards.
Knowledge of DHCS, HEDIS, NCQA regulatory/accreditation standards in a health or managed care environment is preferred.
Strong data and statistical analysis essential.
Ability to travel overnight maybe required.
Anthem, Inc. is ranked as one of America’s MostAdmired Companies among health insurers by Fortune magazine and is a 2018Diversity Inc magazine Top 50 Company for Diversity. To learn more about ourcompany and apply, please visit us at careers.antheminc.com.An EqualOpportunity Employer/Disability/Veteran
