Configuration Manager working with data management for aerospace projects. Ensuring compliance and data integrity while facilitating understanding of Configuration Management guidelines.
About the role
- 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
Benefits
- Comprehensive total rewards package
- Health insurance
- Retirement plans
- Paid time off
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