Cigna Quality Clinical Coordinator Specialist - North Region in Hooksett, New Hampshire

Description:

The purpose of this position is to support the Quality Management program by driving continuous quality improvement activities through execution of HEDIS® and Quality Rating System (QRS) hybrid data collection and related activities, as well as support and engage in Clinical Initiatives and Transparency activities, as assigned.

Major Duties

• Identify, develop and implement HEDIS® and QRS data collection and process improvement initiatives

• Serves as a Project Lead by managing HEDIS® temporary staff and/or individuals assigned to the project, and effectively engaging with Provider offices, hospital facilities and vendors to successfully complete project within organizational timeframes

• Serves as an active and engaged market lead on HEDIS® and quality-related project teams to improve workflows and continue to drive for operational efficiencies and excellence

• Develop, revise, and document policies, standard operating procedures, and workflows

• Assist Clinical Measurement and Improvement team in delivering necessary program documents, operations, and improvements for relevant accreditation, transparency, community collaboratives, and HEDIS® reporting requirements

• Engage in relationship building with CAC groups and related matrix partners

Qualifications:

• Bachelors degree

• Registered Nurse preferred

• Three to five years of quality management/quality improvement/performance improvement experience preferred

• Three to five years clinical health care and HEDIS/QRS collection preferred

• Managed care and/or other healthcare service delivery experience preferred

• Self-starter

• Excellent time management, project management, personnel management, organizational, research, analytical, negotiation, communication, and interpersonal skills

• Ability to work in a fast paced environment, multi-task, and identify work priorities

• Demonstrated proficiency in Microsoft Office applications

• Database management skills preferred

• Limited travel required (less than 10%)

• Work-at-Home opportunity will be considered

Primary Location: Hooksett-New Hampshire

Other Locations: United States-Work From Home Jobs

Work Locations: Two College Park Drive Hooksett 03106

Job: Med Mgt--Clinical Qual Mgmt

Schedule: Regular

Shift: Standard

Employee Status: Manager of People

Job Type: Full-time

Job Level: Day Job

Travel: Yes, 25 % of the Time

Job Posting: Oct 9, 2018, 11:01:06 AM

Qualified applicants will be considered for employment without regard to age, race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. Need an accommodation? Email: SeeYourself@cigna.com