Top 15 Senior health 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
Office Services Senior Coordinator
The Ohio State University Wexner Medical Center —Columbus, OH
- Online Application
- Background check
- Hospital
- Inventory management
11d
Scheduling Senior Coordinator
The Ohio State University Wexner Medical Center —Columbus, OH
- Online Application
- Background check
- Pass drug screening
- Mid-level
6d
Senior Instrumentation Coordinator - East Hospital
The Ohio State University Wexner Medical Center —Columbus, OH
- Online Application
- Background check
- Pass drug screening
- Mid-level
MPPS Policy Deviations Senior Manager
CVS Health —Columbus, OH
- $67,900 - $182,549 a year
- Full-time
- Nursing
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Senior Director, Revenue Cycle - Patient Accounting
The Ohio State University Wexner Medical Center —Columbus, OH
- Online Application
- Background check
- Pass drug screening
- Bachelor's degree
Senior Manager, Patient Experience
Gifthealth Inc —Columbus, OH
- $85,000 - $105,000 a year
- Weekends as needed
- 5 years
- HIPAA
- Analysis skills
Quick Apply
Senior Healthcare Office Assistant
Assured Care Center —Columbus, OH
- $15 - $18 an hour
- Part-time
- Hybrid work
- Google Workspace
- Microsoft Outlook
- Office
Quick Apply
10d
Senior Revenue Recovery Specialist
Ensemble RCM LLC —Columbus, OH
- $22.45 - $24.70 an hour
- Full-time
- Customer service
- 5 years
- Office
- Tuition reimbursement
6d
Patient Revenue Cycle Senior Coordinator
The Ohio State University —Columbus, OH
- $18.37 - $23.99 an hour
- Weekends as needed
- Background check
- Pass drug screening
- Research
4d
Senior Billing Specialist
Ensemble RCM LLC —Columbus, OH
- $18.65 - $20.50 an hour
- Full-time
- No high school diploma
- Mid-level
- Office
- Tuition reimbursement
6d

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
Office Services Senior Coordinator
The Ohio State University Wexner Medical Center —Columbus, OH
This critical role provides the essential support to our daily operations; Works under minimal supervision; Determines and ensures that appropriate actions are…
11d

I want to receive the latest job alert for senior health 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

senior health jobs near columbus

Quality Improvement Specialist jobs in Columbus, OH

Office Coordinator jobs in Columbus, OH

Revenue Cycle Specialist jobs in Columbus, OH

Patient Experience Manager jobs in Columbus, OH

Scheduling Coordinator jobs in Columbus, OH

Quality Assurance Aba jobs in New York, NY

Quality Improvement Specialist jobs in Detroit, MI

Food Quality Assurance jobs in San Diego, CA

Quality Improvement Specialist jobs in Remote

Quality Improvement Specialist jobs in Brooklyn, NY

Quality Assurance jobs in Utah

Quality Improvement Specialist jobs in Fort Worth, TX

Senior Billing Specialist jobs in Orlando, FL

Benefits Specialist jobs in Mississippi

Marketing Specialist jobs in Atlanta, GA

Remote Billing jobs in New York, NY

Senior Billing Specialist jobs in Troy, MI

Senior Billing Specialist jobs in San Francisco Bay Area, CA

Senior Billing Specialist jobs in Remote

Provider Enrollment Specialist jobs in Florida

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

senior health jobs in columbus

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

Office Services Senior Coordinator

Scheduling Senior Coordinator

Senior Instrumentation Coordinator - East Hospital

MPPS Policy Deviations Senior Manager

Senior Director, Revenue Cycle - Patient Accounting

Senior Manager, Patient Experience

Senior Healthcare Office Assistant

Senior Revenue Recovery Specialist

Patient Revenue Cycle Senior Coordinator

Senior Billing Specialist

Explore jobs in cities nearby

I want to receive the latest job alert for senior health in columbus

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected