Provider Quality Specialist (Org Wide)

Lakeland Care
Any Location, WI
Category Healthcare
Job Description
Role Overview

The Provider Quality Specialist assists in maintaining a network of appropriate high-quality service providers to meet members' needs; monitors provider quality and contract compliance while engaging with providers to proactively enhance quality of services.

What You Will Do

The Provider Quality Specialist assists providers to improve the quality-of-service delivery through the remediation of member and provider related incidents and licensure review matters; builds positive working relationships with service providers, and other stakeholders to develop and maintain contracts and community resources necessary to meet the needs of the Lakeland Care Inc. (LCI) membership.

Why It Might Be a Fit

The PQS also collaborates with the Provider Specialist and Quality Specialist to maintain a network of providers that deliver high quality services to LCI members.

Requirements

  • Bachelor's degree in a human service or business-related field, or equivalent combination of formal education and experience
  • Minimum of three (3) years of experience working with the population(s) served in the Family Care program and/or service provider industry
  • Strong knowledge of the service provider industry, including licensing requirements and regulations
  • Must demonstrate proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook)
  • Must have exceptional verbal and written communication skills
  • Effective communication skills, strong organizational skills, and meticulous attention to detail
  • Strong critical thinking and analytic skills
  • Ability to develop strong working relationships and disseminate information appropriately
  • Current driver's license, acceptable driving record and proof of adequate insurance
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