Director, Quality (Healthcare) - Remote

Remote Full-time
Responsible for all aspects of the quality program for a business unit within a Strategic Business Unit (SBU) including strategic planning, program development and leadership, and staffing. Serves as a member of the management team in designing, implementing, and monitoring quality operations with well defined processes and uses performance measurement as the foundation for quality and process improvements. Responsible for performance measurements and analytics, customer reporting, client delegation activities, policies and procedures, quality of care concerns tracking, accreditation preparation, coordination of satisfaction surveys, performance guarantee tracking, integration of quality improvement processes and compliance oversight. Represents the quality program to customers and regulatory entities on quality operations and performance achievement. Directs and supervises proactively the quality department and projects to meet unit goals for the quality program, including the monitoring cost effectiveness, policies, procedures, activities, to meet multiple contractual requirements, external accreditation, and state and federal regulations. Ensures that quality improvement studies and activities are conducted with appropriate feedback from customer organizations, assigned departments, and member and provider input. In consultation with assigned business unit leadership, sets priorities for improving operations based on data from performance indicators, delegation audits, and quality improvement processes. Serves as liaison with department managers to ensure that needs are met for internal and external reporting and analytics and the development of decision support tools. Oversees internal and external audit procedures to meet customer requirements, accreditation standards and goals of the assigned business unit. Serves as co-chair of the unit's Quality Improvement Committee and provides oversight of committee documentation (as applicable). Assists Learning Department in development and presentation of CQI and compliance training programs for staff and customers. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description. Other Job Requirements Responsibilities 8+ years of experience in healthcare. 5+ years of experience in quality. 3+ years of experience in management/leadership. Knowledge of quality improvement processes, performance measurement, accreditation standards, measurement tools, CQI tools and data reporting applications. Knowledge of CQI training and QIA methodology. Demonstrated management and leadership skills. Expertise in data management software including spreadsheet development and use. Must be skilled at mastering new areas of content and operations. Excellent written and verbal communication skills required. General Job Information Title Director, Quality (Healthcare) - Remote Grade 29 Work Experience - Required Healthcare, Management/Leadership, Quality Work Experience - Preferred Education - Required Bachelor's, Bachelor's - Healthcare Education - Preferred Master's - Healthcare License and Certifications - Required License and Certifications - Preferred LCSW - Licensed Clinical Social Worker - Care MgmtCare Mgmt, LPC - Licensed Professional Counselor - Care MgmtCare Mgmt, LSSBB - Lean Six Sigma Black Belt Certification - EnterpriseEnterprise, LSSGB - Lean Six Sigma Green Belt Certification - EnterpriseEnterprise Salary Range Salary Minimum: $93,955 Salary Maximum: $159,725 This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing. Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

Oracle Cloud ERP Finance

Remote Full-time

**Senior Director of Customer Support & Customer Success at arenaflex**

Remote Full-time

**Experienced Bilingual Customer Service Representative – Oakwood, GA at arenaflex**

Remote Full-time

**Experienced Online Part-Time Disney Customer Support Representative – Delivering Magical Experiences to Disney Enthusiasts Worldwide**

Remote Full-time

Part-Time Online High School Classical History Instructor

Remote Full-time

**Experienced Part-Time Web Chat Specialist – Remote Customer Service Representative**

Remote Full-time

**Experienced Remote Customer Service Specialist – Career Growth Opportunities in a Dynamic Work Environment**

Remote Full-time

Behavioral Health Care Manager I (3rd Shift -After Hours)- Bilingual Preferred

Remote Full-time

Senior Manager Systems Analysis

Remote Full-time

Legal Project Specialist

Remote Full-time
← Back to Home