Director, Clinical Programs, Health Plan
Martin's Point Health Care
Quality Improvement Manager
Providence
full-time
Posted on:
Origin: • 🇺🇸 United States • Washington
Visit company websiteSalary
💰 $59 - $93 per hour
Job Level
Mid-LevelSenior
About the role
- Lead the Quality Improvement program for US Family Health Plan - PacMed to drive high performance and continuous quality improvement in rating programs
- Organize governance committees and develop/maintain QI program descriptions, Clinical CDRLs and related policies/procedures
- Perform routine evaluations of QI programs and services and support DHA on-site visit audits
- Hire, supervise and manage staff engaged in the QI program
- Manage program activities for DHA Clinical performance, HEDIS performance, CAHPS performance and quality projects
- Contribute to quality improvement services for external clients as the organization grows
- Ensure successful project management and governance of QI initiatives
Requirements
- Bachelor’s Degree in Public Health, Healthcare Administration, Business Administration or other relevant healthcare program
- 5 years of Demonstrated experience in quality improvement program planning, development and evaluation
- 5 years of Demonstrated experience in discernment of rules/regulations and advocacy related to quality programs
- 5 years of Experience in quality management principles, tools and techniques, such as: Six Sigma, root cause analysis, PDSA, LEAN
- 4 years of Demonstrated leadership experience
- 3 years of Demonstrated experience working collaboratively with physicians and health care organizations
- Demonstrated successful project management and governance
- Preferred: Master\'s degree in Public Health, Healthcare Administration, Business Administration or other relevant healthcare program or 4 years equivalent healthcare quality experience
- Preferred: Formal education or training in quality improvement, change management, and/or leadership
- Preferred: Certified Professional in Healthcare Quality (CPHQ) upon hire
