Quality Improvement Specialist - Sacramento, United States - Elevance Health

Elevance Health

Verified Company

Sacramento, United States

1 week ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Family:
QLT > Quality Assurance

Type:
Full time

Date Posted:
May 08, 2024

Anticipated End Date:
Jun 08, 2024

Reference:
JR115736

Description

Quality Improvement Specialist

Location:
Must be located within 50 miles of Sacramento, CA | Must be willing to travel in northern California

Schedule:
Monday-Friday

The
Quality Improvement Specialist is responsible for performing and/or documenting quality reviews bases on departmental procedures and contributes to standardizing the quality review approach to be in compliance of contractual, State, and Federal requirements.

How you will make an impact:

Focuses on identifying, recommending and implementing a standardized approach to performing and scoring quality audits.
Examines and evaluates the accuracy of transactions processed by reviewing policy, procedure and manual input in accordance with guidelines.
Tracks, trends and reports audit results to management.
Identifies and communicates training issues and assists in developing corrective action plans.
Runs and monitors monthly reports from database to identify and/or correct any incorrect data.

Minimum Requirements:

Requires a High School diploma or GED; 5 years of experience in health care, medical terminology and coding, 23 years of related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

Flexibility to travel to clinics across northern California to perform physical accessibility reviews strongly preferred.

Locations:
California

The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.

Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.

We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.

Our values and behaviors are the root of our culture.

They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.