Regional Dir, QI

It?s a great time to put the strength of Coventry Health Care behind your career! Coventry Health Care is a national managed health care company based in Bethesda; Maryland operating health plans; insurance companies; network rental service companies; and workers? compensation service companies. Coventry provides a full range of risk and fee-based managed care products and services; including HMO; PPO; POS; Medicare Advantage; Medicaid; Workers? Compensation and Network Rental to a broad cross section of employer and government-funded groups; government agencies; and other insurance carriers and administrators. Coventry was recently ranked #168 on the prestigious Fortune 500 and is included in the S&P 500 index. Coventry is looking for a Regional Director; QI.GENERAL SUMMARYDirects the quality improvement activities for an assigned region. Establishes strategic plans; policies; and procedures within the region. Interfaces with all business areas to ensure quality programs will meet or exceed guidelines and requirements.ESSENTIAL RESPONSIBILITIES* Assures compliance with all State and Federal quality regulations; Coventry quality standards; and National Committee for Quality Assurance (NCQA) standards.* Assures the maintenance of accurate documentation of all quality improvement activities; i.e.; surveys; audits; peer reviews; etc.*Remains current with new developments in the field of quality improvement.* Develops and implements new quality improvement activities within an assigned region.* Ensures all quality improvement activities are conducted according to Coventry quality standards and all appropriate data and documentation is retained.* Ensures that quality improvement information; including the monitoring and evaluation of indicators; is collected and reported to the appropriate oversight committees.*Directs data collection for HEDIS measures; identifies opportunities for improvement based on the HEDIS results.* Controls expenses while meeting operational; functional; and service requirements.* Recruits; develops; and motivates staff. Initiates and communicates a variety of personnel actions including employment; termination; performance reviews; salary reviews; and disciplinary actions.*Performs other duties as required.Position requires 30-40% travel.JOB SPECIFICATIONS* Bachelor?s degree or equivalent experience. Master?s degree preferred.*Minimum of 5 years managed care experience with emphasis in quality improvement.*Minimum of 3 years management/leadership experience required.*Certified Professional in Healthy Quality (CPHQ) preferred.* Extensive knowledge of Quality Program implementation.* Excellent organizational; managerial; and analytical skills required.*Strong understanding of accreditation; federal; and state regulations/requirements.Qualified candidates are invited to apply on line httP://jobs.coventryhealthcare.com and reference job number 175181.Coventry Health Care is an Affirmative Action/Equal Opportunity Employer; and we are committed to building a talented and diverse team.
Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.