Manager, Quality Improvement-Health Plan

Cook Children's Health Care System•Fort Worth, TX

6d•Onsite

About The Position

The Manager - Quality Improvement (“MQI”) oversees the Quality Improvement Program of Cook Children’s Health Plan (CCHP). The MQI is charged with staff guidance and supervision, state and regulatory quality compliance, HEDIS reporting activities, quality improvement initiatives, quality of care measurement and outcomes, policy and procedure development, and internal and external quality reviews. The MQI is a leader and a subject matter expert in improving HEDIS performance and continuous quality improvement. The MQI regularly interacts with employees at all levels of CCHP and Cook Children’s Healthcare System in collaboration with CCHP members, providers and assigned vendors.

Requirements

Bachelor’s Degree in a related field from an accredited college or university
4 years’ experience working with Medicaid, quality improvement, risk management, or care management
At least 1 year of management experience
Proficient in HEDIS Project Management, coordination, and data collection
Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership techniques, production methods, and coordination of people and resources
Ability to understand and deal with various business situations in a way that is likely to lead to a positive outcome, seeing the bigger picture, anticipating challenges, and identifying opportunities for growth and improvement
Ability to identify the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills
Communicate effectively orally and in writing as appropriate for the needs of the audience, expressing or exchanging ideas through verbal communications
Knowledge of and ability to apply professional medical principles, procedures, and techniques
Demonstrated proficiency with technology platforms, for example, Microsoft Office Suite (Excel, Word, PowerPoint)
Certified Professional in Healthcare Quality (CPHQ) required