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Delegation Oversight Specialist

Location : Long Beach, CA
Job Type : Contract to Direct
Reference Code : 8979
Hours : Full Time
Travel : No
Relocation : No
Job Category : Medical and Nursing

Job Description :

Our client, in the Long Beach, CA area is seeking a Sr. Delegation Oversight Specialist 



$30-$31/Hour








 Delegation Oversight Specialist  Job Responsibilities: 


  • Responsible for continuous quality improvements within the Delegation Oversight Department. 

  • Oversees delegated activities to ensure compliance primarily with DMHC and DHCS requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, 

  • Waste and Abuse Program. 

  • Coordinates, conducts, and documents delegation assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements. 

  • Prepares status reports from Delegated Entities. Develops corrective action plans when deficiencies are identified, and documents follow-up to completion. Ensures compliance with reporting requirements by tracking the receipt and completeness of reports. 

  • Develops corrective action plans when compliance issues are identified, and document follow-up to completion. 

  • Assists with meetings of the Delegation Oversight Committee, including the preparation of documents for committee oversight of delegated functions. 

  • Works with Network Management team to develop and maintain delegation agreements and assessment tools. 

  • Prepares delegation oversight document evidence for state monitoring visits and NCQA accreditation surveys and participates on Molina's work team.




 

Required Qualifications :

 Delegation Oversight Specialist 



  • Bachelor's Degree or equivalent combination of education and experience. (Business OR Healthcare Field)

  • 3+ years managed care experience. 

  • Min. 1 year experience completing delegation oversight assessment/ audits. 

  • Data analysis experience. 

  • Required License, Certification, Association Valid State Driver's License 

  • Quality management/regulatory experience with increasing responsibility.



For immediate consideration, please email resume to jneary@mednationalstaffing.com.

Looking forward to speaking with you! 

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