Base: $126,300 - $173,700 py; bonus: eligible for ...
Hybrid
Ncqa accreditation compliance
Hedis and cahps measure reporting
Value-based care contracting experience
The Director of Quality Improvement at CarePlus Health Plans Inc. is responsible for implementing and managing quality improvement programs for Louisiana Medicaid, ensuring alignment with organizational strategies and compliance with regulations. The role requires extensive experience in quality management, provider relations, and analytical skills, particularly within a healthcare setting
Job Summary
The Director will provide strategic leadership for Humana's Louisiana Medicaid Quality Program while ensuring alignment with enterprise-wide goals.
This role requires direct oversight of NCQA accreditation compliance and the development of robust governance structures for value-based provider arrangements.
Candidates must possess a deep understanding of operational mechanics including provider contracting, data analytics, and system configuration to drive quality outcomes.
Matching Summary
Match Score: 85
The Director of Quality Improvement at CarePlus Health Plans Inc. is responsible for implementing and managing quality improvement programs for Louisiana Medicaid, ensuring alignment with organizational strategies and compliance with regulations. The role requires extensive experience in quality management, provider relations, and analytical skills, particularly within a healthcare setting.
Salary
Base: $126,300 - $173,700 per year; Bonus: Eligible for incentive plan based on performance; Benefits: Medical, dental, vision, 401(k), paid time off, disability, life insurance
Skills & Requirements
Must-have
NCQA accreditation compliance
HEDIS and CAHPS measure reporting
Value-based care contracting experience
Provider relations and education leadership
Matrixed environment management skills
Data analytics for quality improvement
Nice-to-have
Six Sigma quality management training
Power BI dashboard analysis skills
Humana internal policy knowledge
Strong relationship building capabilities
Innovative member engagement approaches
Key Requirements
Bachelor Degree in Nursing or Medicine
CPHQ or CHCQM certification within 6 months
5+ years management experience in quality
5+ years supervisory people management
3+ years provider relations experience
Must reside in Louisiana
Work Rights
Must reside and conduct work in the state of Louisiana