RN Quality Improvement Specialist - HEALTH PLAN

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 approach enables Aspirus Health Plan (AHP) to focus on issues of appropriateness, efficiency, safety, as well as the health outcomes and satisfaction of our members and their providers. This is achieved by continuous monitoring of our performance according to, or in comparison with, objective measurable performance standards. The QIP promotes accountability and assures identification and evaluation of issues that impact our ability to better our performance and improve health care and administrative services provided to our members.

Collaborating 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 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 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.

Aspirus Wausau Hospital , the flagship of the Aspirus system, serves northeastern Minnesota, northern and central Wisconsin, and Michigan’s Upper Peninsula. Aspirus Wausau Hospital provides primary, secondary and tertiary care services as a regional referral center. Specialty referral service emphasis exists in cardiology and cardiothoracic surgery, orthopedics and cancer. The hospital has an average daily inpatient census of 160 with approximately 15,000 admissions per year. Outpatient visits exceed 50,000 and there are also more than 24,000 annual emergency department visits. Best known for its world-class cardiovascular program, Aspirus Wausau Hospital also provides leading edge cancer, trauma, women’s health, and spine and neurological care. To learn more about Wausau click the following link: Wausau, Wisconsin

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.

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

Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system 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.

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Credentials: