Quality/Utilization Program Specialist (Healthcare/Dental Experience Required)

New Year, New Opportunities ~ Join the Liberty Dental Plan Quality Team!

The Quality and Utilization Program Specialist plays a pivotal role in supporting the implementation and oversight of Liberty Dental Plans Quality Management and Improvement Programs. This position is dedicated to fostering a culture of quality throughout the organization by driving quality initiatives, enhancing organizational processes, and ensuring seamless communication within the Quality team and across departments. The Specialist coordinates key projects, facilitates meetings, and collaborates with internal and external stakeholders to achieve program goals and deliver measurable outcomes.

Job Summary Details
? Assist in implementing quality management and improvement programs by collaborating with cross-functional teams to meet organizational goals, compliance requirements, and member satisfaction benchmarks.
? Generate detailed reports based on data analysis and propose actionable quality improvement initiatives to enhance processes and outcomes.
? Perform accurate and timely administrative intake activities, including the entry and management of QM-related data to ensure smooth operations and reliable reporting.
? Regularly review, update, and maintain company policies and procedures to reflect current regulations, organizational goals, and best practices.
? Collect and analyze data to monitor departmental service-level agreements (SLAs) and contractual obligations, identifying trends and recommending actions to improve performance.
? Handle sensitive and confidential information responsibly, communicating effectively in writing and verbally with internal departments, external clients, and dental professionals.
? Plan, schedule, and coordinate meetings, conferences, and teleconferences, ensuring efficient time management and resource allocation.
? Prepare, distribute, and manage agendas, meeting minutes, and action items to ensure accountability and follow-through on discussions and decisions.
? Establish and maintain organized electronic filing systems, enabling quick access to critical documents and data for operational needs.
? Protect all Protected Health Information (PHI) by adhering to Liberty Dental Plans Information Security Policies and maintaining compliance with HIPAA regulations.
? Promote a safe and productive working environment by following established safety guidelines and organizational protocols.
? Undertake other responsibilities as assigned, contributing to the overall success of the QM department and the organization.

Education/Experience
? Minimum High School or GED
? 2 years of office administrative support experience, including a minimum of 1-year prior experience in dental or healthcare.

Specific Skills/Knowledge
? Strong project management skills with the ability to prioritize and manage multiple projects.
? Proficiency in MS Word, Excel, and Outlook.
? Analytical and problem-solving skills, including the ability to identify issues and develop solutions.
? Excellent written, verbal, and interpersonal communication skills.
? Strong organizational skills and attention to detail.

Please be prepared to complete Online Skills Assessments as part of the application process for this role.
? Ability to type 30-45 WPM and apply critical thinking to complex issues.
? Experience in a Quality Management Department preferred.

What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. Thats why Liberty offers competitive and attractive benefit packages for their employees. We strive to care for employees in positive ways that promotes wellness and productive employees.
? Our first-class benefit package supports our employees and their dependents with:
? Competitive pay structure and saving options that help you reach your financial goals
? Excellent 401k retirement benefits available which includes employer match and ability to save via a Roth IRA, plus immediate vesting during Safe Harbor period and professional financial advice through Financial Engines!
? Medical insurance offered with low-cost premium for employee only coverage and Liberty subsidizes 50% of dependent coverage for eligible enrolled dependents.
? 100% employer paid dental coverage for employees and eligible dependents.
? 100% employer paid vision coverage for employee only coverage, low-cost premium for dependents!
? Company paid basic life and AD&D coverage; options to elect additional supplemental coverage.
? Long Term Disability coverage
? Expansive wellness program including companywide Get Active challenges and Burn-A-Long with option for gym discounts.
? Employee Assistance Program
? Generous vacation and sick leave with the ability to roll time over.
? 10 paid company holidays
? Birthday Flex Holiday
? Tuition Reimbursement
? Remote or Hybrid options for various positions
? And so much more...

Compensation

In the spirit of pay transparency, we are excited to share the base salary for this position is $20.93 - $28.25, exclusive of fringe benefits or potential bonuses. If you are hired at Liberty, your final base salary compensation will be determined based on factors such as geographic location, skills, education, and/or experience. In addition to those factors we believe in the importance of pay equity and consider internal equity of our current team members as a part of any, final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth.

Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.

Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.

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