- Leads health plan quality strategy meetings.
- Develops and facilitates the implementation of an annual Quality Management and Improvement program. Identifies and integrates best practices into state programs.
- Develops performance improvement plans and oversees the clinical quality improvement activities/projects.
- Participates in the development, management, review and reporting of program outcomes for clinical quality programs.
- Assures compliance with corporate Quality Improvement work plans.
- Ensures research program documentation meets regulatory and Accreditation Standards.
- Assures accurate and complete quantitative analysis of clinical data.
- Leads department projects and mentors staff.
- Prepares and presents program documents to senior management.
- Requires a BS in health administration, nursing or a related clinical field; 5 years of health care quality or data analysis experience; or an equivalent combination of education and experience, which would provide an equivalent background.
- Expertise in the assessment and delivery of LTSS programs strongly recommended.
- Current unrestricted license or certification in an applicable field (i.e. CPHQ) or MS in the health field (i.e. Nursing) preferred.
- Knowledge of state or assigned line of business needs and priority improvement areas strongly preferred.
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Clinical Quality Program Director - Indianapolis, United States - Elevance Health
Description
Location :
This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of our Indianapolis, IN PulsePoint at 220 Virginia Ave.
Responsible for developing and implementing statewide a quality improvement strategy for Indiana PathWays for Aging (LTSS)
Primary duties may include, but are not limited to:
Minimum Requirements :
Preferred skills, qualifications and experiences:
