Senior Manager - Quality, Healthcare

San Diego CA 92108

Job Description

Responsible for multi-faceted quality and accreditation program requiring senior level management within an assigned unit of a SBU. Manages multiple aspects of a quality program and accreditation processes. Interfaces with customers and accreditation and regulatory entities. May supervise staff.
  • Manages day-to-day quality activities in assigned area 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 (based on the services and products of the business unit):
  • Quality program development and oversight
  • Interfacing with customers on quality program
  • Training on CQI processes
  • Conducting internal audits of charts and clinical/service procedures
  • Satisfaction survey coordination and follow-up
  • Coordination of Advisory Groups
  • Tracking of adverse incidents
  • Monitoring of performance guarantees
  • Provider profiling support
  • Quality studies and quality process improvement projects 
  • Accreditation project management
  • Quality committee support and direction
  • Performance metrics and scorecards   
  • Liaison with assigned departments to ensure quality projects are integrated within operations.

General Job Information

Title

Senior Manager - Quality, Healthcare

Grade

27

Job Family

Quality Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

3/8/2019

Date Requisition Created

3/7/2019

Minimum Qualifications

Education

Masters: Healthcare (Required)

License and Certifications - Required

License and Certifications - Preferred

LSW - Licensed Social Worker - Care Mgmt

Other Job Requirements

Responsibilities

  • 5+ years of experience in healthcare quality improvement.
  • Managed healthcare experience with demonstrated outcome improvement.
  • Knowledge of quality improvement processes and performance measurement.
  • Expertise in word processing and data management software.
  • Interpersonal and organizational skills, and the ability to manage multiple complex projects simultaneously to meet deadlines.
  • Knowledge of quality improvement standards and accreditation and audit processes.
  • Must be skilled at mastering new areas of content and operations.
  • Excellent written and verbal communication skills required.

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

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