Quality Management Specialist I

At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the best possible customer experience.

This position is based out of the Chicago HQ office.

BASIC FUNCTION:
This position is responsible for facilitating all aspects of assigned BCBSIL clinical quality improvement projects and evaluation of PCP/MG/IPA compliance with BCBSIL clinical practice guidelines; consults with MG/IPAs, physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implement, coordinate, monitor and evaluate options and services required to meet clinical quality improvement project objectives; uses available resources to promote high quality and cost-effective outcomes.

JOB REQUIREMENTS:
• Registered Nurse (RN), Licensed Practical Nurse (LPN), Respiratory Therapist, or another medical specialty i.e., Physicians Assistant, Corpsman) with an unrestricted license in The State of Illinois.
• 3 years clinical practice experience.
• Current Illinois driver's license.
• Ability to travel including overnight stays.
• Verbal and written communication skills.
• PC proficiency to include Word and Excel.

PREFERRED JOB REQUIREMENTS:
• Quality improvement and/or project management experience.

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Requirements: Expertise Quality Assurance, Project Management, Regulatory & Compliance Job Type Full-Time Regular Location IL - Chicago


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