Associate Director, Quality Improvement
New
H
HumanaHealthcare
United StatesFull-TimeManager
Salary$115,200 - $158,400 per year
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Job Details
- Experience
- 4 or more years of experience working within Medicaid.
- Required Skills
- LeadershipCompliance
Requirements
- 4 or more years of experience working within Medicaid.
- 2 or more years of leadership experience, preferably leading quality improvement or compliance professionals.
- Experience in Quality Improvement or Process Improvement within healthcare.
- Understanding of cultural factors influencing health outcomes and culturally competent interventions.
- Demonstrated skills in quality improvement concepts and health care data analysis.
- Experience with data mining and identifying population health issues and trends.
- Understanding of value-based payment models.
- Strong communication and presentation skills, capable of presenting to Senior VP level leadership.
- Ability to work in a remote home setting with self-provided internet (25 Mbps download/10 Mbps upload minimum).
- CPHQ Certification is preferred.
- Knowledge of QI methodologies like IHI model of improvement and QI tools like FMEA, KDD, or root cause analysis.
Responsibilities
- Lead the alignment of Quality Associates and Population Health Stream strategies.
- Lead the focus on MPS measures by population stream and strategy to mitigate penalties.
- Lead the focus on QBA measures and strategy to maintain performance related to membership assignment.
- Focus on HEDIS project deliverables, driving results and improvement by population stream.
- Focus on CAHPS project deliverables and impact to population streams.
- Provide oversight of Cross-stream Quality Withhold collaborative efforts.
- Lead efforts and focus on vendor and provider engagement from a Quality perspective.
- Lead efforts on maintaining quality documentation including policies/procedures and committee materials.
- Lead efforts on maintaining NCQA and EQRO compliance.
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