Director of Quality | Managed Care

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Job Details:

Job Overview:
Job Title: Director of Quality |Managed Care
Employer: MMS Group
Location: chicago, Illinois
Job Type: Full-Time
Profession: Administrator/Executive
Career Level: Experienced
Experience: 5-10 years
Education Level: Bachelors Degree
Travel: none

Job Description:

Director, Quality – CHICAGO 

Join a talented leadership team as this international organization continues to grow and thrive.
Director will drive process improvement activities to provide more efficient and streamlined workflow.

  • Responsible for leading and collaborating with others on NCQA and HEDIS.
  • Responsible for quality improvement aspects of risk adjustment processes for all products
  • Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS)
  • Oversee provider satisfaction surveys and implement action plans for improvements
  • Research and incorporate best practices into operations
  • Organize and control activities, methods, and procedures to achieve business objectives
  • Review and implement new technological tools and processes
  • Fosters team concept with internal and external constituencies
  • Present results of improvement efforts and ongoing performance measures to senior management
  • Formulate and establish policies, operating procedures, and goals in compliance with internal and external guidelines

 

Job Requirements:

  • Bachelor’s degree but RN not required (Masters’ degree preferred)
  • 7+ years of quality management, quality improvement or healthcare operations experience..
  • Certified Professional in Health Care Quality preferred
  • STRONG experience in Medicare/Medicaid/HEDIS/NCQA/STARS
  • Strong Medicare / Medicaid background

Click Here for Details and to Apply

 


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