Director I GBD Quality Management - Plan - Iowa
Company: Elevance Health
Location: West Des Moines
Posted on: January 19, 2023
Job Description:
Director I GBD Quality Management - Plan - Iowa
- Job Family: Customer Care
- Type: Full time
- Date Posted:Nov 10, 2022
- Req #: JR33805Location:
- IA, West Des MoinesDescriptionLocation: Remote in Iowa;
preferably near Des Moines, IABuild the Possibilities. Make an
extraordinary impact.Responsible for driving the development,
coordination, communication, and implementation of a strategic
clinical quality management and improvement program within Iowa
Medicaid.How you will make an impact:
- Directs and provides leadership for implementing, monitoring
and evaluating the Quality Management Program for the health
plan.
- Promotes understanding, communication, and coordination of the
quality management program.
- Directs and provides leadership for compliance with National
Committee for Quality Assurance (NCQA) standards.
- Provides leadership for the interpretation of results and
development of improvement action plans arising from provider and
member satisfaction surveys.
- Serves as a resource for the design and evaluation of process
improvement plans/quality improvement plans and ensures they meet
Continuous Quality Improvement (CQI) methodology and state
contractual requirements.
- Collaborates with other leaders in developing, monitoring, and
evaluating Healthcare Effectiveness Data Information Set (HEDIS)
improvement action plans, year round medical record review, and
over read processes.
- Monitors and reports quality measures per state, Centers for
Medicare and Medicaid Services (CMS), and accrediting
requirements.
- Hires, trains, coaches, counsels, and evaluates performance of
direct reports.Minimum Requirements:
- Requires a BA/BS in a health or business related field; 8 years
of experience in a healthcare environment, including prior
management experience; or any combination of education and
experience, which would provide an equivalent background.Preferred
Skills, Capabilities and Experiences:
- Previous STAR's/HEDIS experience strongly preferred.
- NCQA experience strongly preferred.
- MSN, MPH, or MPA preferred.
- Current clinical license preferred.
- CQM experience in a Managed Care Organization preferredPlease
be advised that Elevance Health only accepts resumes from agencies
that have a signed agreement with Elevance Health. Accordingly,
Elevance Health is not obligated to pay referral fees to any agency
that is not a party to an agreement with Elevance Health. Thus, any
unsolicited resumes, including those submitted to hiring managers,
are deemed to be the property of Elevance Health.Be part of an
Extraordinary TeamElevance Health is a health company dedicated to
improving lives and communities and making healthcare simpler.
Previously known as Anthem, Inc., we have evolved into a company
focused on whole health and updated our name to better reflect the
direction the company is heading.We are looking for leaders at all
levels of the organization who are passionate about making an
impact on our members and the communities we serve. You will thrive
in a complex and collaborative environment where you take action
and ownership to solve problems and lead change. Do you want to be
part of a larger purpose and an evolving, high-performance culture
that empowers you to make an impact?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.The health of our
associates and communities is a top priority for Elevance Health.
We require all new candidates to become vaccinated against
COVID-19. If you are not vaccinated, your offer will be rescinded
unless you provide and Elevance Health approves a valid religious
or medical explanation as to why you are not able to get vaccinated
that Elevance Health is able to reasonably accommodate. Elevance
Health will also follow all relevant federal, state and local
laws.Elevance Health has been named as a Fortune Great Place To
Work in 2021, is ranked as one of the 2021 Worlds Most Admired
Companies among health insurers by Fortune magazine, and a Top 20
Fortune 500 Companies on Diversity and Inclusion. To learn more
about our company and apply, please visit us at
careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.EEO is the LawEqual
Opportunity Employer / Disability / VeteranPlease use the links
below to review statements of protection from discrimination under
Federal law for job applicants and employees.
- EEO Policy Statement
- EEO is the Law Poster
- EEO Poster Supplement-English Version
- Pay Transparency
- Privacy Notice for California ResidentsElevance Health, Inc. is
an E-verify EmployerNeed Assistance?Email us
(elevancehealth@icareerhelp.com) or call 1-877-204-7664
Keywords: Elevance Health, West Des Moines , Director I GBD Quality Management - Plan - Iowa, Executive , West Des Moines, Iowa
Didn't find what you're looking for? Search again!
Loading more jobs...