Quality improvement specialist vs contracts specialist

Differences between quality improvement specialist and contracts specialist duties and responsibilities

Quality improvement specialist example responsibilities.

• Manage action planning as it relates to the RCA process.
• Design, run, and manage the HEDIS data review process/claim encounters to ensure accuracy and integrity of data.
• Lead company-wide preparation for NCQA accreditation.
• Assist organization in achieving strategic quality/resource consumption goals and JCAHO accreditation.
• Design and manage an internal SharePoint site utilize compliance with RESPA guidelines
• Manage investigations using applicable methodology focuse on root cause analysis and CAPA identification / implementation.
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Contracts specialist example responsibilities.

• Manage multiple task orders in an IDIQ environment.
• Provide clarity on medical and drug cover benefits for a Medicare advantage insurance plan.
• Manage inventory and distribution activities of the third-party logistics provider.
• Develop marketing strategies to expand Medicaid manage care provider network and enrollment.
• Manage the influenza vaccine annual contracting and RFP process for a national specialty pharmaceutical distributor.
• Process purchase orders and subcontracts, including managing insurance requirement compliance and certify payroll documentation.
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