Manager responsible for quality improvement in healthcare, overseeing staff activities and compliance with regulations. Collaborating with teams for best practices in quality metrics and improvement projects.
Responsibilities
Manage the day-to-day prioritization of staff activities in collaboration with Director, Quality Improvement
Responsible for developing quality documents in compliance with state and federal requirements
Responsible for Corporate oversight of the HEDIS Medical Record Review Unit as needed for the assigned market
Responsible for development and oversight of Quality Improvement (QI) Projects and Performance Improvement Projects related to HEDIS and pay for performance (P4P) requirements
Ensure all policies and procedures are aligned with Federal, State, and Accreditation requirements
Provide education to internal and external customers on quality improvement functions
Collaborate with business owners to establish, implement, and develop best practices for P4P quality directives
Requirements
Bachelor’s Degree or equivalent years of relevant work experience
Completion of an accredited Registered Nursing degree program or Bachelor’s of Science in Nursing (BSN) is preferred
Master’s Degree in Nursing (MSN), Public Health, or healthcare related field is preferred
A minimum of three (3) years of experience in a healthcare or managed care organization is required
Previous management experience is required
Medicaid and/or Medicare experience preferred
Experience in quality metrics preferred
Intermediate proficiency in Microsoft Word, Excel and PowerPoint
Solid leadership skills; able to effectively manage a high performing team, provide coaching and development
Proven ability to recognize opportunity for improvement and lead change
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