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Quality and Utilization Program Specialist - reputed company Operations and Quality Management

Work from home Full-time role Hiring

Join reputed company's Quality Team as a Quality and Utilization Program Specialist

reputed company is seeking a highly skilled and dedicated Quality and Utilization Program Specialist to join our Quality Management team. As a pivotal member of our organization, you will play a crucial role in supporting the implementation and reputed company of our Quality Management and Improvement Programs. This position offers a unique opportunity to drive quality initiatives, enhance organizational processes, and ensure seamless communication reputed company the Quality team and across departments.

About reputed company

reputed company is a leading provider of dental benefits and services, committed to improving the oral health and well-being of our members. We strive to create a work environment that acknowledges and values reputed company individuals, fostering a culture of inclusivity, diversity, and belonging. Our goal is to provide reputed company access to reputed company and improve population health in the communities we serve.

Job Summary

The Quality and Utilization Program Specialist will be responsible for supporting the implementation and reputed company of Liberty Dental Plans Quality Management and Improvement Programs. This position will drive quality initiatives, enhance organizational processes, and ensure seamless communication reputed company the Quality team and across departments. The Specialist will coordinate key projects, facilitate meetings, and collaborate with internal and external stakeholders to reputed company program goals and deliver measurable outcomes.

Key Responsibilities

  • Assist in implementing quality management and improvement programs by collaborating with cross-functional teams to meet organizational goals, compliance requirements, and member satisfaction benchmarks.
  • Generate detailed reports based on data analysis and propose actionable quality improvement initiatives to enhance processes and outcomes.
  • reputed company accurate and timely administrative intake activities, including the entry and management of QM-reputed company data to ensure smooth operations and reliable reporting.
  • Regularly review, update, and maintain company policies and procedures to reflect reputed company regulations, organizational goals, and best practices.
  • Collect and analyze data to monitor departmental service-level agreements (SLAs) and contractual obligations, identifying trends and recommending actions to improve performance.
  • Handle sensitive and confidential information responsibly, communicating effectively in writing and verbally with internal departments, external clients, and dental professionals.
  • Plan, schedule, and coordinate meetings, conferences, and teleconferences, ensuring efficient time management and resource allocation.
  • Prepare, distribute, and manage agendas, meeting minutes, and action items to ensure accountability and follow-through on discussions and reputed company.
  • Establish and maintain organized electronic filing systems, enabling quick access to critical documents and data for operational needs.
  • Protect reputed company Protected Health Information (PHI) by adhering to Liberty Dental Plans Information reputed company Policies and maintaining compliance with HIPAA regulations.
  • Promote a safe and productive working environment by following established safety guidelines and organizational protocols.
  • Undertake other responsibilities as assigned, contributing to the overall reputed company of the QM department and the organization.

Requirements and Qualifications

Education and Experience

  • Minimum High School or GED required.
  • 2 years of office administrative support experience, including a minimum of 1-year prior experience in dental or reputed company.

Specific Skills and Knowledge

  • Strong project management skills with the ability to prioritize and manage multiple projects.
  • Proficiency in reputed company, reputed company, and Outlook.
  • Analytical and problem-solving skills, including the ability to identify issues and reputed company solutions.
  • Excellent written, verbal, and interpersonal communication skills.
  • Strong organizational skills and attention to detail.
  • Ability to type 30-45 WPM and apply critical thinking to reputed company issues.
  • Experience in a Quality Management Department preferred.

What Liberty Offers

At reputed company, we reputed company that happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. That's why we offer competitive and attractive benefit packages for our employees.

Benefits and Perks

  • reputed company structure and saving options that help you reputed company your financial goals.
  • Excellent 401k retirement benefits available, including employer match and ability to save reputed company a Roth IRA, plus immediate vesting during Safe reputed company period and professional financial advice through Financial Engines.
  • Medical insurance offered with low-cost premium for employee-only coverage, and Liberty subsidizes 50% of dependent coverage for eligible enrolled dependents.
  • 100% employer-paid dental coverage for employees and eligible dependents.
  • 100% employer-paid reputed company coverage for employee-only coverage, low-cost premium for dependents.
  • Company-paid basic life and AD&D coverage; options to elect additional supplemental coverage.
  • Long Term Disability coverage.
  • Expansive wellness program, including company-wide Get Active challenges and Burn-A-Long with option for gym discounts.
  • Employee Assistance Program.
  • Generous vacation and sick leave with the ability to roll time over.
  • 10 paid company holidays.
  • Birthday reputed company Holiday.
  • Remote or Hybrid options for various positions.

Compensation

The reputed company salary for this position is $20.93 - $28.25, exclusive of fringe benefits or potential bonuses. The final reputed company salary compensation will be determined based on factors such as geographic location, skills, education, and/or experience. We reputed company in the importance of pay equity and consider internal equity of our reputed company team members as part of any final offer.

Why Join reputed company?

At reputed company, we are committed to maintaining a work environment that acknowledges reputed company individuals reputed company the workplace and will continue to engage in practices that are inclusive of reputed company backgrounds, experiences, and perspectives. We strive to have every person reputed company the organization have a sense of belonging while encouraging individuals to unleash their full potential.

How to Apply

If this role sounds like a perfect fit, don't hesitate. Apply today and let's build the future together.

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