- 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
Anticipated End Date:Position Title:
Clinical Quality Program Director
Job 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:
Director Equivalent
Workshift:
Job Family:
QLT > Clinical Quality
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
