Quality Improvement Manager

Intermountain Centers•Tucson, AZ

About The Position

The Quality Improvement Manager provides daily support and guidance to the Quality Improvement Team under the direction of the Director of QI & Compliance. This role ensures reporting deliverables are met, the medical records system is maintained, and quality improvement strategies are implemented across the organization. The manager supervises and oversees the department’s Quality Improvement Specialists and Medical Records staff. The role develops and oversees systems and processes for meeting organizational contract deliverables; maintains knowledge of funder, contract, regulatory, and accreditation reporting requirements; and ensures reporting systems and reports are reliable, accurate, and prepared as required. It applies quality management, data analytics, and performance measurement tools, maintains process design documents, and coordinates with internal and external staff. The manager analyzes data and recommends actions to improve quality performance, develops process efficiencies, advises programs on applicable healthcare rules, supports healthcare audits, and assists with corrective action plans, consultation, and training. The position also ensures adverse events are reported as required and supports implementation and documentation of quality improvement strategies. The manager oversees daily medical records operations and compliance with state and federal requirements concerning PHI and PII, maintains current knowledge of applicable privacy and security laws, and assesses technology and efficiency improvements. A bachelor’s degree or higher in a related field, at least four years of relevant experience, and at least one year in a team lead or supervisory role are required. Additional regulatory clearances and certifications may be required.

Requirements

Bachelor’s degree or higher in a related healthcare field, data analytics, quality improvement, public health, or a related field.
At least 4 years of experience working in healthcare, data analytics, and/or quality improvement.
At least 1 year of experience in a team lead or supervisory capacity.
Minimum age of 21 years.
DPS Level I fingerprint clearance if required; must possess it upon hire and maintain it throughout employment.
CPR, First Aid, and AED certification if required; must possess them upon hire and maintain them throughout employment.
Current, valid Arizona driver’s license, 39-month Motor Vehicle Report, and proof of vehicle registration and liability insurance if required.
Initial current negative TB test result if required; the employer provides it.

Responsibilities

Develop and oversee systems and processes for meeting organizational contract deliverable requirements.
Maintain knowledge of quality reporting requirements from funders, contracts, regulatory entities, and accreditation entities; educate and update staff on these requirements.
Monitor reporting systems to ensure they are reliable and accurate.
Ensure reports are prepared according to contract obligations or the requirements of the relevant business function.
Apply current quality management, data analytics, and performance measurement tools to departmental work and efficiency.
Develop and maintain process design documents for reporting deliverables.
Communicate and work with internal and external staff to meet contract deliverable requirements.
Provide written data analysis, identify trends, and recommend actions for reporting requirements and quality performance measures.
Develop efficiencies that support process improvement and quality outcomes for the department and organization, as applicable.
Serve as a subject matter expert on applicable health plan, AHCCCS, DCS, DDD, and other state or federal healthcare rules.
Coordinate and support internal and external healthcare audits for programs.
Collaborate with programs and sites to develop, submit, and monitor corrective action plans.
Provide consultation and training to sites, NEO, and others as requested.
Ensure adverse events are reported according to requirements and work with sites to prevent recurrence.
Work with internal and external staff to ensure quality improvement strategies are implemented, measured, and documented.
Manage daily medical records operations and ensure compliance with state and federal regulations concerning PHI and PII.
Maintain current understanding of HIPAA, privacy, security, 42 CFR, and other applicable laws.
Continually assess technology improvements and efficiency strategies.
Supervise and oversee Quality Improvement Specialists and Medical Records staff.