RN Quality Analysis Associate (Hybrid - Troy, MI) - Health Alliance Plan
REQUIREMENTS:
- Nursing Diploma required, Bachelor’s degree in nursing preferred.
- At least two (2) years of data analytical review of clinical, quality management and/or utilization management experience preferably in a managed care environment.
- Previous knowledge of patient safety, NCQA, CMS, and Leapfrog.
- Computer literate with excellent knowledge and experience of a variety of software programs with proficiency in Windows based software (i.e., Microsoft Office).
- Proficiency required in MS PowerPoint presentations and web-based technology.
- Be proficient in using relational databases and statistical analysis.
- Be highly organized, flexible and cognizant of time frames.
- Be a high producer, team player and a pro-active achiever.
- Be able to work with minimal supervision, be decisive and persuasive.
- Apply clinical knowledge and expertise to improve quality outcomes.
- Have knowledge of performance improvement methodologies.
- Engage and advance new concepts, research findings and innovative approaches to quality improvements in healthcare and related business fields.
- Knowledge of HMO and managed care concepts. NCQA, CMS and other regulatory standards desirable.
- Must possess and maintain a valid driver’s license without restrictions.
- Must have reliable transportation to conduct off-site reviews and other activities as required.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at henryford.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Henry
Ford Health has a new approach for its employee benefits program - My Choice
Rewards. My Choice Rewards is a program as diverse as the people it serves. There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.