Quality Management Specialist II(Remote)

Quality Management Specialist IILocation: Albuquerque, NM Contract: 2023-08-28 to 2023-11-28 Work Location: 4411 The 25 Way N.E. Albuquerque, NM USA 87109 Description: This role is remote. Please map to Sr. Quality analyst rate card Basic Function: This position is a production based role. Applicant will be responsible for processing assigning cases in a timely manner as well as performing outreach to multiple individuals for follow-up and clarification. Assisting team members and requesting medical records is also required. Cases assigned are quality based and attention to detail is key. Job Requirements: Must have a Bachelors degree in a healthcare related field or high school degree +7 years of healthcare management experience. 3 years clinical/Quality experience. 2 years UM, Case Management, quality improvement and/or project management experience. Experience conducting presentations for member and/or provider training. Verbal and written communications skills. Data analysis experience. Excellent PC proficiency to include Word, Excel, and PowerPoint.