Manager, Quality Improvement – HEDIS
Job Description:
• Oversee and manage the functions of the quality improvement program
• Provide support to staff and communicate with departments for daily quality improvement functions
• Review and analyze reports, records, and directives
• Confer with staff to obtain data such as new projects and problems encountered
• Verify data for government program requirements and ensure compliance
• Prepare reports for management on work function activities
• Evaluate current procedures and develop improved procedures
• Collaborate with appropriate departments for complaints and appeals resolution
• Monitor and analyze costs and participate in budget preparation
Requirements:
• Bachelor’s degree in related field or equivalent experience
• 3+ years clinical, quality management or healthcare related experience
• 1 year of recent quality improvement and supervisory experience in a healthcare environment, preferably managed care
• Current state registered nursing license preferred
• Certification in quality improvement, risk management, or another parallel field is a plus
• Certified Professional in Healthcare or other licensed clinical experience preferred
Benefits:
• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules
Apply Now
Apply Now
• Oversee and manage the functions of the quality improvement program
• Provide support to staff and communicate with departments for daily quality improvement functions
• Review and analyze reports, records, and directives
• Confer with staff to obtain data such as new projects and problems encountered
• Verify data for government program requirements and ensure compliance
• Prepare reports for management on work function activities
• Evaluate current procedures and develop improved procedures
• Collaborate with appropriate departments for complaints and appeals resolution
• Monitor and analyze costs and participate in budget preparation
Requirements:
• Bachelor’s degree in related field or equivalent experience
• 3+ years clinical, quality management or healthcare related experience
• 1 year of recent quality improvement and supervisory experience in a healthcare environment, preferably managed care
• Current state registered nursing license preferred
• Certification in quality improvement, risk management, or another parallel field is a plus
• Certified Professional in Healthcare or other licensed clinical experience preferred
Benefits:
• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules
Apply Now
Apply Now