Top 19 Sr. sponsored programs specialist Jobs in Columbus

Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Molina Healthcare —Columbus, OH
- $54,922 - $107,099 a year
- Full-time
- Remote
- RN License
- Writing skills
- Analysis skills
- Health insurance
Sr. Analyst, Fraud & Investigations
Nationwide —Grandview Heights, OH
- 8 hour shift
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
- Paid holidays
- Disability insurance
9d
Equipment Specialist - Equipment Specialist Sr.
AEP Service Corporation —Columbus, OH
- $87,633 - $128,688 a year
- Full-time
- Military
- Mid-level
- 3 years
- Tuition reimbursement
20h
Director Talent Management
AEP Service Corporation —Columbus, OH
- $160,434 - $245,080 a year
- Full-time
- PMP
- 11+ years
- Bachelor's degree
- Tuition reimbursement
9d
Education Program Senior Specialist
The Ohio State University —Columbus, OH
- $51,500 - $67,250 a year
- Full-time
- Background check
- Classroom
- Pass drug screening
Project Controls Specialist
AEP Service Corporation —New Albany, OH
- $98,993.00 - $151,132.50 a year
- Full-time
- Office
- High school diploma or GED
- Senior level
- Tuition reimbursement
6d
Talent Acquisition Spec Sr
AEP Service Corporation —Columbus, OH
- $87,633 - $109,543 a year
- Full-time
- Up to 50% travel
- Office
- 3 years
- Tuition reimbursement
8d
Specialist, Analytic Solution Advisor
Nationwide —Columbus, OH
- 8 hour shift
- Remote
- Mid-level
- 3 years
- Analysis skills
- Paid holidays
- Disability insurance
1d
SSA Manager
Baker Hughes —Columbus, OH
- Full-time
- Hybrid work
- 5 years
- Engineering
- Analysis skills
- Flexible schedule
- Life insurance
Central Intake Admissions Specialist
Otterbein SeniorLife —Columbus, OH
- Microsoft Excel
- Microsoft Outlook
- Marketing
- Paid holidays
- Health insurance
Quick Apply
Controllership/Accounting positions - Evergreen
Nationwide —Columbus, OH
- Extended hours
- Hybrid work
- Background check
- Computer literacy
- Research
- Paid holidays
- Disability insurance
Field Marketing Specialist Performance - Ohio
Salomon —Columbus, OH
- Contract
- Clean driving record
- Marketing
- Ability to walk for extended periods
Quick Apply
Sales and Marketing Specialist
Otterbein SeniorLife —Johnstown, OH
- Part-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Dental insurance
Quick Apply
3d
Medical Science Director
Melinta Therapeutics LLC —Columbus, OH
- $200,000 - $225,000 a year
- Full-time
- Medicine
- Hospital
- Inpatient
Quick Apply
Consultant, Speciality Finance Accounting
Nationwide —Columbus, OH
- Extended hours
- Hybrid work
- Background check
- Research
- Office
- Paid holidays
- Disability insurance
Transmission Project Manager - Project Manager Principal
AEP Service Corporation —New Albany, OH
- $63,496.00 - $151,132.50 a year
- Full-time
- Computer Science
- Construction site
- Office
- Tuition reimbursement
1d
Behavior Analyst (BCBA) - Hybrid
Autism Learning Partners —Columbus, OH
- $80,000 - $85,000 a year
- 8 hour shift
- Hybrid work
- Experience working with individuals with developmental disabilities
- Mid-level
- Home health
- Continuing education credits
- Disability insurance
Quick Apply

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Molina Healthcare —Columbus, OH
If licensed, license must be active and unrestricted in state of practice. Implements evidence-based and data-informed key member intervention strategies…
$54,922 - $107,099 a year
Sr. Analyst, Fraud & Investigations
Nationwide —Grandview Heights, OH
Additionally, you’ll be responsible for partnering and consulting with business units and leaders to implement state of the art fraud detection and prevention…
9d

I want to receive the latest job alert for sr. sponsored programs specialist in columbus

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

sr. sponsored programs specialist jobs near columbus

Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)

Molina Healthcare -
Columbus, OH

Apply Now

Job Details

Full-time
$54,922 - $107,099 a year

Benefits

Health insurance

Qualifications

Managed care
Managed care organization experience
Writing skills
Clinical program data analysis
Productivity software
Clinical data analysis

Full Job Description

Molina Healthcare of Ohio is hiring for a Sr Quality Improvement/HEDIS Specialist on our Health Plan Community Interventions team.
This role is remote however candidates must live in Ohio.

This role is laser focused on Quality Improvement using QI Science. This role will be assigned a primary population stream and will be expected to support improvement work for Medicare Stars Measures.

Highly qualified candidates will have the following experience-

Using the specific models for improvement required by the state of Ohio
Experience with a formal model like IHI or Lean or Six Sigma, Green or Yellow Belt Improvement
Power BI is helpful but expert level is not required
Familiarity with Medicare (Ideally the Duals population)
Familiarity with QI Science, Health Equity, Population Health, Health Management

This role also provides senior level support for clinical quality member intervention activities. Responsible for the developing and implementing new and existing member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid, etc.). Executes health plan member and community quality-focused interventions and programs in accordance with established program standards, and federal/state/National Committee for Quality Assurance (NCQA) regulations. Conducts data collection, monitors intervention activity including key performance measurement activities, reports intervention outcomes, and supports continuous improvement of intervention processes and outcomes.

Essential Job Duties

Implements evidence-based and data-informed key member intervention strategies including initiating and managing member and/or community interventions (e.g., removing barriers to care) and other federal and state quality initiatives.
Monitors and ensures that key member intervention activities are completed on time and accurately, and presents results to key departmental management and other applicable Molina departments.
Writes narrative reports to interpret regulatory specifications, explains programs and results of programs, and documents findings and limitations of department interventions.
Creates, manages, and/or compiles required documentation necessary to maintain critical program milestones, deadlines, and deliverables.
Participates in quality improvement (QI) activities, meetings, and discussions with and between other departments within the organization.
Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based organizations (CBOs).
Evaluates quality project/program activities and results to identify opportunities for improvement.
Raises gaps in processes that may require remediation to quality leadership.
Provides support for quality-related projects.
Provides training and support to new and existing quality member interventions team members.
Demonstrates flexibility when it comes to change management and maintains a positive outlook.
This position may require same day out of office travel 0 - 80% of the time, depending upon state-specific needs.
This position may require multi-day overnight travel on occasion, depending upon state-specific needs.

Required Qualifications

At least 3 years of experience in health care, and at least 2 years of experience in health plan quality member interventions in a managed care setting, or equivalent combination of relevant education and experience.
Demonstrated solid business writing experience.
Proficiency with data analysis, manipulation and interpretation.
Intermediate knowledge and understanding of HEDIS and NCQA.
Critical-thinking, problem-solving and analytical skills.
Attention to detail and organizational skills.
Ability to navigate change with flexibility and a positive outlook.
Ability to work independently in a fast-paced, deadline-driven environment.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency, and ability to learn new information systems and software programs.

Preferred Qualifications

Experience with data reporting, analysis, and interpretation.
Experience with Medicaid, Medicare, and/or Marketplace government-sponsored programs.
Certified Professional in Health Quality (CPHQ).
Certified HEDIS Compliance Auditor (CHCA).

Registered Nurse (RN). If licensed, license must be active and unrestricted in state of practice.
*

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $54,922 - $107,099 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

sr. sponsored programs specialist jobs in columbus

Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)

Sr. Analyst, Fraud & Investigations

Equipment Specialist - Equipment Specialist Sr.

Director Talent Management

Education Program Senior Specialist

Project Controls Specialist

Talent Acquisition Spec Sr

Specialist, Analytic Solution Advisor

SSA Manager

Central Intake Admissions Specialist

Controllership/Accounting positions - Evergreen

Field Marketing Specialist Performance - Ohio

Sales and Marketing Specialist

Medical Science Director

Consultant, Speciality Finance Accounting

Transmission Project Manager - Project Manager Principal

Behavior Analyst (BCBA) - Hybrid

Explore jobs in cities nearby

I want to receive the latest job alert for sr. sponsored programs specialist in columbus

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected