Magellan Health

Director, Quality – Healthcare

Magellan Health

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $93,955 - $159,725 per year

Job Level

About the role

  • 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.
  • 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, and coordination of satisfaction surveys.
  • 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.
  • Ensures that quality improvement studies and activities are conducted with appropriate feedback from customer organizations, assigned departments, and member and provider input.
  • 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.

Requirements

  • 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.
Benefits
  • Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
quality improvement processesperformance measurementaccreditation standardsmeasurement toolsCQI toolsdata reporting applicationsdata management softwarespreadsheet development
Soft Skills
management skillsleadership skillscommunication skills