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Quality Program Management:
- Ensure health plan programs comply with state, federal, and NCQA regulations.
- Plan, implement, and maintain quality improvement activities that meet reporting requirements.
Performance Monitoring and Audits:
- Prepare for audits, accreditation surveys, and quality improvement reports.
- Monitor key deliverables to ensure accuracy and on-time completion.
Collaboration and Improvement:
- Partner with quality leadership to investigate escalations and resolve compliance gaps.
- Provide training and guidance to quality management team members.
Partner Company
This organization partners with health plans to implement quality improvement programs and ensure compliance with regulatory standards such as NCQA and HEDIS. The culture emphasizes collaboration, regulatory excellence, and continuous improvement, with a remote work environment for professionals based in Michigan.