Accreditation Quality Manager

Sacramento CA 95814

Job Description

Quality Manager will own the accreditation and ensure ISO compliant processes, quality documentation systems, and overall compliance with ISO standards. Quality Manager will be responsible for ongoing oversight of ISO operational compliance.
  • Manages NCQA and/or URAC accreditation efforts
  • Manages day-to-day ISO 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 ISO quality oversight and goals.
  • Conducts training sessions on ISO.
  • Coordinates quality initiatives.
  • Coordinates satisfaction survey and follow-up.
  • Coordinates Advisory Groups.
  • Tracks adverse incidents and Quality of Care concerns.
  • Monitors performance measures.
  • Supports provider profiling.
  • Audits for quality control.
  • Conducts quality studies and manages 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.
  • Prefer experience with ISO 9001

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General Job Information

Title

Accreditation Quality Manager

Grade

25

Job Family

Quality Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

1/21/2020

Date Requisition Created

1/21/2020

Work Experience

Healthcare, Quality

Education

Bachelors: Healthcare (Required), Masters: Behavioral Health

License and Certifications - Required

License and Certifications - Preferred

LSW - Licensed Social Worker - Care Mgmt

Other Job Requirements

Responsibilities

  • Managed behavioral health and accreditation processes.
  • Knowledge of accreditation standards related to the book of business.
  • 5+ years of 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.

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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