Cook Children's Health Care System is headquartered in Fort Worth, Texas and is comprised of numerous centers, hospitals, and practices. Since 1918 as a single
Quality Metrics Specialist
Location
United States
Posted
1 day ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Quality Metrics Specialist
Cook Children's Health Care System
Role Description Responsible for implementing processes in the Quality Improvement department regarding project management, and quality improvement within a managed care organization. Responsibilities include: - Monitoring, tracking, trending, analyzing, and reporting all data, performance measures, and other required information requested by the Health and Human Services Commission (HHSC), Centers for Medicare and Medicaid Services (CMS), Texas Department of Insurance (TDI), National Committee for Quality Assurance (NCQA) or any other accrediting or regulatory bodies. - Monitoring data and action plans as they relate to HEDIS or other projects/programs overseen by the Quality Improvement department. - Coordinating cross-functional efforts internally and externally as needed to support HEDIS data collection, validation and other assigned projects. - Supporting the department with the collection and analysis of related data/information and in the development of strategies/processes to improve performance outcomes. Qualifications - High School Diploma or equivalent is required. - Bachelor's degree (B.S.) from four-year college or university preferred. - Health Plan Claims or Clinical experience required. - Requires moderate to expert experience with computer programs, including Microsoft Office programs (Word, Excel, and PowerPoint). Requirements - Licensed Vocational Nurse or Registered Nurse. Company Description Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
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