Manager, Healthcare Quality

San Diego CA 92108

Job Description

Responsible for assigned areas of quality within a specified unit of a SBU. Implements assigned quality program components. Interfaces with customers and regulatory entities. May have accreditation responsibilities based on contract requirements.

Essential Functions

- Manages day-to-day quality activities ensuring program and procedures support company goals for service, quality, and cost effectiveness as well as compliance with contract, federal and state requirements. Activities and projects may include:
- Interfacing with customers on quality programs.
- Trainings on CQI processes.
- Coordination of quality initiatives.
- Satisfaction survey coordination and follow-up.
- Coordination of Advisory Groups.
- Tracking of adverse incidents and Quality of Care concerns.
- Monitoring of performance measures.
- Provider profiling support.
- Auditing for quality control.
- Quality studies and quality improvement projects.
- Prepares customer and site reports with assistance from Reporting and Analytics team.
- Participates on quality committees to ensure quality issues are taken to the committee and recommendations are made, by the committee, in a timely manner. Makes recommendations to the Committee for improving plan operations based on data from performance indicators, QI studies, and quality activities.
- Serves as liaison with assigned departments to ensure quality projects are integrated within operations.
- Conducts internal audits of charts and clinical/service procedures for quality purposes.

Preferred Qualifications:
- CA independent behavioral health license: LCSW, LMFT, LPCC.

General Job Information


Manager Quality



Job Family

Quality Group


United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date


Date Requisition Created


Minimum Qualifications


Bachelors: Healthcare (Required), Masters: Behavioral Health (Required)

License and Certifications - Required

License and Certifications - Preferred

LSW - Licensed Social Worker - Care Mgmt

Other Job Requirements


5 years healthcare quality improvement experience.Knowledge of quality improvement processes and performance measurement. Demonstrated skills in project management. Strong interpersonal and organizational skills. Expertise in word processing and data management software.Managed behavioral health and accreditation processes. Knowledge of accreditation standards related to the book of business.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled

Top 5 reasons to work at Magellan

When you say

To be the best you have to work with the best

We hear you
Life @ Magellan