Clinical Quality Program Director - Indiana, United States - Elevance Health

    Elevance Health
    Elevance Health Indiana, United States

    1 month ago

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    Description
    Location

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    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:

    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.
    Minimum Requirements

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    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.

    Preferred skills, qualifications and experiences:

    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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