RN Quality Improvement Specialist - HEALTH PLAN

Overview
Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values every. single. day.

Aspirus Health Plan in Wausau, WI is seeking a RN QUALITY IMPROVEMENT SPECIALIST to join our Aspirus Health Plan team. This position could also be housed in Duluth MN or Madison WI, but a Wausau location is preferred.

The Quality Improvement Program (QIP) is the framework for a formal process to assess and monitor our performance through a systematic approach of monitoring and evaluating the quality and effectiveness of care for our members. This promotes accountability and ensures identification and evaluation of issues that impact our ability to improve health care and administrative services provided to our members. This role collaborates with the Director of Operations to develop and implement a cohesive Quality Improvement Program that supports NCQA, HEDIS and Medicare Star Ratings.

Responsibilities
Collaborate closely with the Director of Operations to develop and implement a cohesive Quality Improvement Program that supports NCQA, HEDIS and Medicare Star Ratings.

Hours
Full Time or 1.0 FTE, 80 hours every 2 weeks.

Experience / Qualifications

2 years of experience in a quality improvement role or 3-5 years of experience in a health care related field preferred.

NCQA accreditation experience is preferred.

Excellent communication skills with ability to interact and collaborate effectively within all levels of the organization and outside clients.

Knowledge of the insurance industry including benefit plans, reinsurance and State and National mandates is desirable.

Knowledge of Microsoft Office and experience working with Excel, Visio and PowerPoint.

Detail oriented with strong organizational and time management skills. Ability to prioritize and manage multiple tasks.

Effective verbal and written communication skills including presentation skills and the ability to manage and facilitate interdepartmental work groups.

Systems thinker with attention to detail.

Strong critical thinking skills.

Bachelor’s degree is required.

RN license required.

Possesses a valid driver’s license for required travel as needed between Madison, Wausau, and Minneapolis.

Employee Benefits

Full benefits packages available for part- and full-time status.

PTO accrual from day one.

Generous retirement plan with match available.

Wellness program for employees and their families.

About Aspirus
Aspirus Wausau Hospital, the flagship of the Aspirus system, serves northeastern Minnesota, northern and central Wisconsin, and Michigan’s Upper Peninsula. The hospital provides primary, secondary and tertiary care services as a regional referral center with emphasis in cardiology, cardiothoracic surgery, orthopedics and cancer. The organization operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information, visit aspirus.org.

Our Mission & Our Vision
Our Mission: We heal people, promote health and strengthen communities.

Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.

Additional Information
As an Aspirus team, we demonstrate caring, plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.

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