Mississippi Association for Healthcare Quality

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Organizations who are listed as current vendor/sponsors of MsAHQ Education Conferences are welcome to post job openings on the MsAHQ website. All submissions must be sent to the Webmaster who will review for appropriate content. All files should be in Word format. Logos will be accepted in a .jpg or .gif file. All charges for job postings are included in the general vendor/sponsor contract.

Initial postings must be received by the Webmaster (John W. Pace, pacejo@msh.state.ms.us) for them to be posted. The postings will be done within a week of receiving them. In the event that the job posting will be extended, the organization placing the post must communicate to the Webmaster their intention to keep the position posted for an additional time period; otherwise, the job posting will automatically be removed.

Current Job Openings

Magnolia Health Plan: Quality Improvement Coordinator
Purpose: Oversee the functions of the quality improvement program.

Knowledge/Experience: Three (3) years nursing experience and one (1) year QI experience and supervisory experience in a healthcare environment, preferably managed care.

Position Responsibilities: Review and analyze reports, records and directives; Verify data to be submitted in accordance with government program requirements and ensure compliance with state, federal, and certification requirements; Prepare reports and records on work function activities for management; Evaluate current procedures and practices for accomplishing the assigned work functions objectives to develop and implement improved procedures and practices and to ensure compliance with required standards.; and Collaborate with appropriate departments to document, investigate and resolve formal or informal complaints and appeals in accordance with Company and State policies, procedures, and requirements.

License/Certificate: current state registered nursing license.

To apply for this position please e-mail cmeaux@centene.com

Provider Quality Programs Coordinator
Minimum Salary: $59,200.00

Job Summary:
This position is responsible for documenting, developing, implementing and monitoring Provider Quality Programs for network hospitals and physicians. The Provider Quality Programs Coordinator is responsible for the research and documentation of quality core measures and initiatives in the development of quality of care programs for network providers. The incumbent will also monitor individual network provider performance against established quality metrics as designed.

Required Qualifications:
• Bachelor’s degree in Business-related field, or clinical designation, such as R.N. A Master’s degree in Healthcare Administration and/or Nursing is preferred.
• Certified Professional in Healthcare Quality (CPHQ) certification required.
• At least three years of healthcare administration and/or clinical experience required. Experience with analyzing and trending healthcare related data preferred. Experience in the development of provider/hospital quality management programs preferred.
• Must have experience with implementing activities for monitoring and/or improving health related outcomes.
• Must have excellent PC skills including experience with Microsoft Word and Excel. Experience with Microsoft Access and Visio is preferred.
• Must be able to work a flexible schedule when required with limited travel.
• Must document and organize work product to demonstrate conformance with departmental, corporate or regulatory requirements.
• Knowledge of accreditation programs such as JCAHO, quality measures, such as HEDIS and knowledge of CPT, HCPCS, ICD9, UB Revenue and NDC coding is desired.

To apply for this position, please visit www.bcbsms.com to apply online

Provider Reimbursement Analyst
Minimum salary: $51,680

Job Summary:
The Provider Reimbursement Analyst is accountable for researching, analyzing, documenting, monitoring, and interpreting all provider reimbursement related activity from internal systems and external resources. This includes understanding industry, regulatory, and market changes to support current and future provider reimbursement initiatives aligned with corporate strategies. This analysis and research will include the prospective assessment of current network provider activity and practices, Federal/State health care reimbursement policies, and identifying and describing all potential changes that could impact BCBSMS business. The Provider Reimbursement Analyst will apply qualitative and quantitative techniques to interpret provider data and produce substantiated recommendations in many different communication forms, written or oral.

Required Qualifications:
• A Bachelor’s degree in Business, Accounting, Finance, Mathematics, Information Systems, Statistics or Health Care Management.
• Must have a strong background in math/statistics as evidenced by education and/or prior work experience.
• Sound background in health care analytics with proven research and analytical experience.
• Knowledge of reimbursement programs (DRG, Per Diem, APC, fee schedules, etc.) preferred
• Strong working knowledge of Microsoft Office
• Excellent oral, written communication and report preparation skills required.
• Must have technical skills in data analysis applications (e.g., SAS, SQL, etc.).
• Must be able to work with a high degree of accuracy and attention to detail to ensure work products are of high quality.
• Must have excellent organizational skills in order to successfully prioritize tasks and monitor performance to ensure department benchmarks and deadlines are consistently met.

To apply for this position, please visit www.bcbsms.com