Director of Quality Improvement

Location: Little Rock, AR
Date Posted: 03-01-2018
Director of Quality Improvement - Managed Care
Little Rock, AR
Director of Quality Improvement Job Summary:
  • The Director of Quality Improvement is responsible for strategically developing and coordinating Quality Improvement Program-related activities, objectives, and analysis within the health plan.
  • This includes oversight of the day-to-day operations of the quality management department.
  • The Director of QI provides ongoing maintenance and evaluation of systems and strategies to support the improvement of quality management accreditation through promoting and supporting innovation.
  • Director of Quality Improvement is Responsible for ensuring compliance and providing direction and guidance for National Committee for Quality Assurance (NCQA) accreditation.
  • In addition, the Director of QI is responsible for establishing and monitoring procedures for receiving, investigating and responding in writing to member and provider grievances and appeals involving the review of clinical information.
Director of Quality Improvement Benefits:
This established, nationally-recognized organization is a Fortune 500 company that is committed to the health and happiness of all their staff. They offer a comprehensive benefits package to all full-time, permanent employees including low cost health insurance plan, dental, vision, and life insurance. To assist employees in living a healthier life, they offer either on-site fitness center or discounts to local fitness centers and a comprehensive wellness programs. They also offer free or reimbursed parking, tuition assistance, matching 401(k), employee stock purchase plan, generous PTO plus paid holidays, and much more!
Director of Quality Improvement Background:
  • Requires Bachelor degree in Nursing or related; Master’s in Business, Healthcare Administration, etc highly preferred.
  • 4 years progressive managerial and strategic leadership experience in Health Plans or other Managed Care Organizations, with a strong emphasis on Managed Government programs including Medicare and/or Medicaid.
  • At least 7 years experience in Quality Management/Quality Improvement at a Managed Care Organization, such as Health Plan, IPA, Medical Group, or HMO.
  • Strongly prefer certification in either CPHQ or ABQAURP.
  • Demonstrable understanding of attaining National Committee for Quality Assurance (NCQA) accreditation.
  • Strong computer skills, at a minimum, proficient in data analysis and MS Access, Word, PowerPoint, and Excel.
  • Possess planning, organizing, conflict resolution, negotiating and interpersonal skills.

Mike Vega - CHP
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