Director Of Quality Improvement 8/10/2016

MMS Group Atlanta, GA

Company
MMS Group
Job Classification
Full Time
Company Ref #
28704749
AJE Ref #
575843555
Location
Atlanta, GA
Job Type
Regular

JOB DESCRIPTION

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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

Qualifications:

-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