Find Jobs In United States - Find the Best Jobs online



Check with seller Quality Reporting Specialist Jackson

Published date: April 3, 2022
  • Location: Jackson, Mississippi, United States

Position Purpose:
Organize and assemble various quality indicators which are reported to the Quality Management Risk Management Committee. Coordinate Quality of Care (QOC) tracking process and the operational department reporting to ensure timely submission to the payors.

Prepare Quality Improvement (QI) reports and submit for review prior to submission.

Track incident, accident, and death (IAD) reports and correspond to QOC investigations to ensure resolution meets the timeliness standards and ensure appropriate information is provided the payor.

Organize and assemble IAD and QOC data for the QM Committee, the Credentialing Committee, and other entities.

Ensure that all departments submit reports timely to the payors.

Participate in the Risk Committee or other appropriate committees as designated.

Conduct audits of the State IAD-QOC database to ensure data integrity and timeliness of portal submissions.

Prepare provider financial sanctions for review prior to submission.

Serve as primary point of contact to resolve provider issues regarding IADs and QOCs.

High school diploma or equivalent. 2+ years of experience in a health care setting that includes coordination of member care through physicians, clinical nurses and office managers. In depth knowledge of medical/mental health terminology required.

For the Illinois Health Plan only: Travel throughout the State to Provider locations may be required; a valid driver’s license and personal transportation will be required.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Contact seller Share

Useful information

  • Avoid scams by acting locally or paying with PayPal
  • Never pay with Western Union, Moneygram or other anonymous payment services
  • Don't buy or sell outside of your country. Don't accept cashier cheques from outside your country
  • This site is never involved in any transaction, and does not handle payments, shipping, guarantee transactions, provide escrow services, or offer "buyer protection" or "seller certification"

Related listings

  • Remote Fuel Island Attendant Recruiter
    Remote Fuel Island Attendant Recruiter
    Computer & IT - Jackson (Mississippi) - April 3, 2022 Check with seller

    Current Employees: If you are a current employee at Ryder (not a Contractor or temporary employee through a staffing agency), please click here ($3.htmld) to log in to Workday to apply using the internal appl...

  • Photographer Newborn - St. Dominic Jackson Memorial Hospital - Jackson MS - $13.00/hr. (Market Avg.)
    Photographer Newborn - St. Dominic Jackson Memorial Hospital - Jackson MS - $13.00/hr. (Market Avg.)
    Computer & IT - Jackson (Mississippi) - April 3, 2022 Check with seller

    Responsibilities Photograph newborn babies in a hospital setting with Mom365 photography equipment Create a happy, warm, welcoming experience that families will remember. Accommodate emotions and/or physical conditions of Moms’ and babies Maintain pr...

  • Admitting Clerk (OutPt Reg)-Patient Access-FT-Day Shift
    Admitting Clerk (OutPt Reg)-Patient Access-FT-Day Shift
    Computer & IT - Jackson (Mississippi) - April 3, 2022 Check with seller

    The Admitting Clerk provides patient registration services including patient interview, preparation of registration forms and other admission or transfer related requirements. Creating a customer service environment, the Admitting Clerk assists with ...


    Leave your comment (spam and offensive messages will be removed)

    Website using cooking and goole tagmanager

    Find jobs post jobs for free - wordhome - Site map xml

    chợ tốt việc làm - chợ tốt mua bán - chợ tốt bất động sản - rao vặt miễn phí - việc làm báo mua bán

    job in usa | job in singapore | job in taiwan | job in india