Manager, Quality Improvement-health Plan

Cook Children's Health Plan

Calmont Operations Building, Texas, United States
Not specified; not specified; not specified
Not specified, likely onsite based on location.
Hedis project management and data collection
State and regulatory quality compliance
Staff guidance and supervision experience
The Manager of Quality Improvement at Cook Children's Health Plan is responsible for overseeing the Quality Improvement Program, ensuring compliance, and leading initiatives to enhance quality of care. The role requires expertise in HEDIS performance, management experience, and proficiency in project management and communication

Job Summary

  • The Manager - Quality Improvement oversees the comprehensive Quality Improvement Program for Cook Children's Health Plan serving nearly 120,000 members.
  • This role requires leading HEDIS reporting activities, ensuring state and regulatory quality compliance, and driving continuous quality improvement initiatives.
  • The position involves supervising staff, developing policies, and collaborating with providers, members, and vendors to enhance care outcomes.

Matching Summary

Match Score: 85

The Manager of Quality Improvement at Cook Children's Health Plan is responsible for overseeing the Quality Improvement Program, ensuring compliance, and leading initiatives to enhance quality of care. The role requires expertise in HEDIS performance, management experience, and proficiency in project management and communication.

Salary

Not specified; Not specified; Not specified

Skills & Requirements

Must-have

  • HEDIS project management and data collection
  • State and regulatory quality compliance
  • Staff guidance and supervision experience
  • Quality improvement initiatives leadership
  • Policy and procedure development

Nice-to-have

  • Continuous quality improvement expertise
  • Strategic planning and resource allocation
  • Coaching and mentoring capabilities
  • Microsoft Office Suite proficiency
  • Collaboration with external vendors

Key Requirements

  • Bachelor's Degree in related field required
  • 4 years' experience in Medicaid or quality improvement
  • 1 year of management experience required
  • Certified Professional in Healthcare Quality (CPHQ) required
  • Bachelor's Degree in Nursing preferred

Work Rights

Not specified

Tailored Resume

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