Manager, Quality Improvement-health Plan

208

Calmont, Texas, United States
**
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 (CCHP) in Calmont, Texas, is responsible for overseeing the Quality Improvement Program, ensuring compliance with state regulations, and enhancing healthcare quality metrics. The ideal candidate will have extensive experience in Medicaid and quality improvement, along with management experience and proficiency in HEDIS reporting. **

Job Summary

  • The Manager oversees the Quality Improvement Program for Cook Children's Health Plan serving nearly 120,000 members in Texas.
  • This role requires leading staff, ensuring state and regulatory compliance, and driving HEDIS performance improvements.
  • The position involves developing policies, conducting internal and external reviews, and collaborating with healthcare system partners.

Matching Summary

Match Score: 75

** The Manager of Quality Improvement at Cook Children's Health Plan (CCHP) in Calmont, Texas, is responsible for overseeing the Quality Improvement Program, ensuring compliance with state regulations, and enhancing healthcare quality metrics. The ideal candidate will have extensive experience in Medicaid and quality improvement, along with management experience and proficiency in HEDIS reporting. **

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
  • Collaboration with providers and vendors
  • Strategic planning and resource allocation
  • Coaching and mentoring capabilities
  • Microsoft Office Suite proficiency

Key Requirements

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

Work Rights

Not specified

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