Job Information
Elevance Health Quality Improvement Specialist in Sacramento, California
Quality Improvement Specialist
Location: Must be located within 50 miles of Sacramento, CA | Must be willing to travel in northern California
Schedule: Monday-Friday
The Quality Improvement Specialist is responsible for performing and/or documenting quality reviews bases on departmental procedures and contributes to standardizing the quality review approach to be in compliance of contractual, State, and Federal requirements.
How you will make an impact:
Focuses on identifying, recommending and implementing a standardized approach to performing and scoring quality audits.
Examines and evaluates the accuracy of transactions processed by reviewing policy, procedure and manual input in accordance with guidelines.
Tracks, trends and reports audit results to management.
Identifies and communicates training issues and assists in developing corrective action plans.
Runs and monitors monthly reports from database to identify and/or correct any incorrect data.
Minimum Requirements:
- Requires a High School diploma or GED; 5 years of experience in health care, medical terminology and coding, 2-3 years of related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
- Flexibility to travel to clinics across northern California to perform physical accessibility reviews strongly preferred.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $27.72/hr to $34.65/hr.
Locations: California
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.