Senior Quality Compliance Professional

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Ensure that members receive all EPSDT/HealthChek services.

• Guarantee that members have access to maternal health and postpartum care.

• Advocate for family planning services.

• Encourage preventive health strategies.

• Identify and coordinate support for specific member needs related to maternal/child health and EPSDT.

• Collaborate with community partners and coordinators of pregnancy-related services.

• Engage in EPSDT, maternal health, and child quality performance improvement initiatives.

⛳️ Requirements

• Must be a resident of the state of Ohio.

• Unrestricted Registered Nurse license in the State of Ohio OR Physician's Assistant OR a Master's degree in health services, public health, health care administration, or a related field OR Certified Professional in Health Care Quality (CPHQ) OR Certified Health Care Quality Management (CHCQM).

• A minimum of 3 years of experience in delivering EPSDT services OR in Health Care Quality Improvement.

• Previous experience in a fast-paced insurance or healthcare environment.

• Familiarity with EPSDT and Child Health Services.

• Knowledge of maternal and pregnancy-related services.

• Understanding of healthcare quality measures (e.g., HEDIS).

• Proficient in advanced Excel (pivot tables, charts, formulas).

🏝️ Benefits

• Comprehensive medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off, including company holidays, personal days, volunteer time off, and paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.