Job Details

Clinical Program Specialist 2 Priority Health

Company name
Spectrum Health.

Location
Grand Rapids, MI, United States

Employment Type
Full-Time

Industry
Healthcare, Nursing, Clinical Research

Posted on
Oct 03,2019

Valid Through
Jan 16,2020

Profile

Clinical Program Specialist 2 (Priority Health)

Job ID:

69344

Entity:

Corporate

Employment Classification:

Full-time with Benefits (A1)

Location:

GRAND RAPIDS, MI

Facility:

Priority Health

Department:

Ph-Behavioral Health

Bi-weekly Hours:

80

Shift:

Day

Shift Length:

8 hours

Hours of Work:

8AM to 5PM

Days Worked:

Monday-Friday

Weekend Frequency:

N/A

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Company Description:

Spectrum Health is a not-for-profit, award winning, integrated health system based in West Michigan. Our organization includes a medical center, regional community hospitals, a dedicated children's hospital, a multispecialty medical group and a nationally recognized health plan, Priority Health. We invest in our people by supporting a dynamic, high-performing workplace. Our collaborative approach to patient care includes a commitment to provide an exceptional experience for patients and their families. Spectrum Health supports successful career growth in an innovative environment.

Position Summary:

Responsibility for coordinating the services supporting the multiple disciplines of NCQA accreditation and regulatory compliance requirements from both within and outside the health plan. Exercises independent judgment in the assessment,

development, maintenance, monitoring, evaluation, education and improvement of policies, procedures, processes and resources that support Medical Management’s operational and clinical excellence

Collaborates with clinical leadership to ensures compliance both internally and externally (delegated functions) with accreditation guidelines, and federal and state laws and requirements of regulated lines of business.

Qualifications:

Basic Qualifications:

Education - Bachelor's Degree or equivalent in clinical healthcare, health administration, business, or related field

Experience - 2 years of experience typically gained through skills/knowledge/abilities in

legal, regulatory, or healthcare operations field; health insurance focus desireable; compliance auditor, or other audit function; project management/program development and implementation.

Licenses -

Registered Nurse (RN)

Preferred Qualifications:

Education - Master's Degree or equivalent in related field

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected category.

jobDetails

Accommodation Notice, if you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health’s application process. Contact us at 616-486-2632

or if you prefer to use email, contact us at careers@spectrumhealth.org

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected category. See more here

100 Michigan St. NE, Grand Rapids, MI 49503

866.989.7999

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Copyright © 2016 Spectrum Health. All Rights Reserved.

The content on this website is provided for informational purposes only and is not intended as medical advice. Please consult a physician regarding your specific medical condition, diagnosis and/or treatment.

Company info

Spectrum Health.
Website : http://www.spectrumhealth.org

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