Quality Improvement Professional 2

CarePlus Health Plans Inc

Schaumburg, Illinois, United States
Base: $65,000 - $88,600 py; bonus: eligible for in...
Hybrid
Bachelor's degree required
2 years process improvement experience
Cms and state audit knowledge
CarePlus Health Plans Inc. is seeking a Quality Improvement Professional 2 to enhance business processes through data analysis and compliance auditing. The role demands a strong understanding of healthcare quality standards, particularly in Medicaid and Medicare, coupled with the ability to implement sustainable improvements

Job Summary

  • This role focuses on analyzing business processes to develop sustainable improvements that drive safety and cost effectiveness.
  • The professional will conduct CMS and state audits including HRA compliance and transitions of care to strengthen quality outcomes.
  • Employees receive comprehensive benefits effective on day one including medical, dental, vision, and a 401k retirement savings plan.

Matching Summary

Match Score: 85

CarePlus Health Plans Inc. is seeking a Quality Improvement Professional 2 to enhance business processes through data analysis and compliance auditing. The role demands a strong understanding of healthcare quality standards, particularly in Medicaid and Medicare, coupled with the ability to implement sustainable improvements.

Salary

Base: $65,000 - $88,600 per year; Bonus: Eligible for incentive plan based on performance; Benefits: Comprehensive package including 401k, Medical, Dental, Vision

Skills & Requirements

Must-have

  • Bachelor's degree required
  • 2 years process improvement experience
  • CMS and state audit knowledge
  • Medicaid/Medicare care coordination
  • Data manipulation and interpretation skills

Nice-to-have

  • HEDIS/Stars/CMS quality knowledge
  • Medicaid or Medicare guidelines experience
  • Benchmarking best practices expertise
  • Strong communication for presenting cases

Key Requirements

  • Bachelor's degree
  • 2 years related experience
  • Ability to travel to Schaumburg office
  • Occasional travel to Louisville for audits

Work Rights

Not specified

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