HEDIS/Quality Improvement Project Manager

Recruiter
Healthcare Support
Location
Hamden
Salary
Competitive
Posted
Oct 03, 2017
Closes
Oct 31, 2017
Industry
Healthcare
Employer Type
Direct Employer
Employment Type
Permanent
Hours
Full Time
Job Description We are aggressively seeking a HEDIS/Quality Improvement Project Manager for a Healthcare organization. As the Year 2017 is in full swing, this organization is very busy, and they need YOUR help.

Take advantage of flexible hours, a competitive salary, and be a HEDIS/Quality Improvement Project Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW.

This exciting opportunity will require a HEDIS/Quality Improvement Project Manager who can provide a high level of service and attention to their members. If you are seasoned, and you meet the qualifications listed below, please send your updated resume to Edgar Pablo for immediate consideration.

Daily Responsibilities:

• Analyzes key plan metrics, such as top diagnoses, clinical procedures, and operational performance, to enable the development of sound and valid recommendations regarding and prioritization of clinical and service improvement initiatives.
• Works with QI Director to convene various QI committees and work groups, set agenda to drive desired meeting outcomes (based on contract and accreditation requirements), and ensure proper recording of committee activities.
• Acts as knowledge expert for continuous quality improvement activities, educating staff of other functional areas regarding the QI process and accreditation requirements.
• Performs various quality department functions and processes, such as quality of care complaint/adverse event review and assessment of medical record review results and recommend actions to address any identified improvement opportunities.
• Manages and monitors clinical quality studies to include receipt and analysis of trended data, assessment of national benchmarks as available, development of improvement recommendations (to include ROI and best practice interventions as appropriate), presentation to senior leadership, implementation of plan, and evaluation for desired result.

• Fields annual member and provider satisfaction surveys, working with vendor to clarify results and present findings and recommendations to senior leadership.
• Assists with efforts to secure successful NCQA accreditation.
• Performs activities to comply with annual HEDIS data collection and analysis, preparing recommendations to increase rates as appropriate.

Requirements:
  • Bachelor's Degree in nursing or a related health field or equivalent years of related experience,
  • 5+ years of experience in a health care delivery organization, such as a managed care organization or a hospital environment
  • 3+ years of experience in QI, performing a wide range of functions with strong focus on data analysis and initiation of improvement initiatives that resulted in desired outcome
  • 3+ years of experience in process improvement and project management
    Other - Knowledge of Medicaid and/or Medicare programs


Hours for this Position:

Monday to Friday- 8:00AM to 5:00PM

Advantages of this Opportunity:

Competitive Salary pays up to $41/hour

Want More Information

Interested in hearing more about this great opportunity? Reach out to

Edgar Pablo



Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!