Director, Statewide Quality California Medicaid

Director, Statewide Quality California Medicaid

Full-time Position:

Director, Statewide Quality California Medicaid Experience:

10-15 years Education:

Bachelor's Degree Relocation assistance available Bonus eligible Occasional travel required Job Description

This is a statewide position overseeing all quality and NCQA activities for the California Medicaid Business, reporting to the Chief Medical Officer. Primary responsibilities include, but are not limited to: Providing leadership for the implementation of the Quality Management Program for the California Health Plan. Establishing annual goals and objectives. Promoting understanding, communication, and coordination of the Clinical Quality Management Program. Overseeing Quality Management (QM) Scorecard reporting. Leading the development, implementation, and evaluation of Clinical Quality improvement action plans. Managing the member/provider satisfaction survey process. Overseeing HEDIS reporting and developing action plans to meet improvement targets. Supporting external audit processes with the Health Plans External Quality Review Organization (EQRO). Participating in the Quality Improvement Council (QIC). Ensuring compliance with NCQA standards or other accrediting bodies. Hiring, training, coaching, counseling, and evaluating direct reports. Qualifications

Bachelor's Degree required. Minimum of 10 years' experience in quality management. HEDIS and health plan experience preferred. RN, MBA, MPH, or additional Quality certifications preferred. All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

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