Director Of Quality Improvement 8/10/2016
JOB DESCRIPTIONAPPLY INCREDIBLE opportunity to learn and grow in healthcare with a strong leadership team and unlimited growth! Experienced professional will lead and direct process improvement activities and NCQA Accreditation and HEDIS performance.
GENEROUS relocation - excellent benefits!
-Responsible for quality improvement aspects of risk adjustment processes for all products
-Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS)
-Oversee provider satisfaction surveys and implement action plans for improvements
-Research and incorporate best practices into operations
-Organize and control activities, methods, and procedures to achieve business objectives
-Review and implement new technological tools and processes and fosters team concept with internal and external constituencies
-Present results of improvement efforts and ongoing performance measures to senior management
-Formulate and establish policies, operating procedures, and goals in compliance with internal and external guidelines
-Bachelor's degree in Nursing, related clinical degree or equivalent experience. (Masters' degreepreferred).
-7+ years of quality management, quality improvement and health plan operations experience.
- Current state's RN license preferred.
- CPHQ is a plus