Analyst, Delegation Oversight (Remote)

Job description

JOB DESCRIPTION Job Summary Provides analyst support for delegation oversight activities including monitoring delegation oversight to ensure compliance with state, federal, National Committee for Quality Assurance (NCQA), and Molina requirements. Responsible for gathering, coordinating, analyzing, and processing compliance data from the provider network delegates, and providing support for quality assurance compliance measure requirements and delegation oversight committee meetings. Essential Job Duties: - Monitors delegated activities to ensure compliance with state health plan and National Committee for Quality Assurance (NCQA) requirements to include: tracking receipts of monthly reports from delegated entities, monitoring monthly reports for continued compliance with delegated responsibilities, meeting with delegation oversight auditors monthly to review reports and identify need for corrective action measures, and producing summary reports presented at delegation oversight committee meetings. - Reports on delegated entity performance using web-based compliance tool, including performance metrics and remediation efforts when performance falls below acceptable standards. - Parti...