Director, Quality

Albuquerque NM 87113

Job Description

Responsible for all aspects of the quality program for a business unit within a SBU including strategic planning, program development and leadership, and staffing. Serves as a member of the management team in designing, implementing, and monitoring quality operations. Responsible for performance measurements and analytics, customer reporting, client delegation activities, policies and procedures, quality of care concerns tracking, accreditation preparation, coordination of satisfaction surveys, performance guarantee tracking, integration of quality improvement processes and compliance oversight.

Essential Functions


- Directs and supervises quality staff and projects to meet unit goals for the quality program, including the monitoring of policies, procedures, activities, to meet multiple contractual requirements, external accreditation, and state and federal regulations.
- Ensures that studies and activities are conducted with appropriate feedback from customer organizations, assigned departments, and member and provider input.
- In consultation with assigned business unit leadership, sets priorities for improving operations based on data from performance indicators, delegation audits, and quality improvement processes.
- Serves as liaison with department managers to ensure that needs are met for internal and external reporting and analytics and the development of decision support tools.
- Oversees internal and external audit procedures to meet customer requirements, accreditation standards and goals of the assigned business unit.
- Serves as co-chair of the unit's Quality Improvement Committee and provides oversight of committee documentation.
- Assists Learning Department in development and presentation of CQI and compliance training programs for staff and customers.

General Job Information

Title

Director, Quality

Grade

29

Job Family

Quality Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

9/9/2019

Date Requisition Created

9/9/2019

Work Experience

Quality

Education

Masters (Required)

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

Knowledge of quality improvement processes, performance measurement, accreditation standards, measurement tools, CQI tools and data reporting applications. Knowledge of CQI training and QIA methodology. ? Demonstrated management and leadership skills. Expertise in data management software including spreadsheet development and use.

5 -8 years of experience with management level and supervisory experience

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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