Sr. National Quality Director, Medicare

United States

Job Description

Serves within the National Clinical Department or large SBU unit. Directs quality initiatives and projects. May supervise staff. Responsibilities vary based on assigned area. Leadership assignments and areas of responsibility may include: accreditation, quality policies, patient safety, clinical/network support tools, customer relations, reporting and analytics, survey processes, process improvement, quality studies, delegation vendor management, sales and marketing support, quality committees and HEDIS/STAR interventions/coordination.

Essential Functions

- Directs quality projects and assigned quality, clinical and network support activities including: quality policies, accreditation preparation, patient safety program and quality website content.
- Provides leadership and accountability for QI committees. Assists in setting meeting agenda, minute documentation and follow-up, and develops/oversees preparation of QI annual documents and templates.
- Serves as liaison with assigned departments, external accreditation agencies and customers.
- Directs accreditation programs. Consults with and trains units on accreditation initiation and project planning. Conducts field readiness audits and provides intensive assistance to units in accreditation preparation as needed.
- Supports sales, marketing and product development as needed with proposal language, accreditation content and quality documentation.
- Maintains repository of QI materials/tools for use throughout the SBU and/or the enterprise.
- Other duties as assigned by management.

General Job Information


Sr. National Quality Director, Medicare



Job Family

Quality Group


United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date


Date Requisition Created


Minimum Qualifications


Masters: Healthcare (Required)

License and Certifications - Required

License and Certifications - Preferred

LSW - Licensed Social Worker - Care Mgmt

Other Job Requirements


Knowledge of healthcare quality processes, accreditation standards, CQI processes, data analytics, performance measurement, policy development and project management. Demonstrated management and communication skills. Able to juggle multiple projects, work under time pressures, shift projects and demonstrate creativity in project development. Must be highly accountable and able to build alliances across department and with customers. Ability to work with computer software and analytical tools.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

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