Manager, Quality Improvement

  • Modis,
  • Camarillo, CA
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Modis
Analysis, Analyst, Data Analysis, Data Collection, Director, Excel, Manager, Management, PowerPoint, Project, Project Manager
Full Time
Work from home not available Travel not required

Job Description





At Modis, we use our insight, knowledge and global resources to make exceptional connections every day. With 60 branch offices located strategically throughout North America, we are positioned perfectly to deliver the industry's top talent to each of our clients. Clients choose Modis as their workforce partner to solve staffing challenges that range from locating hard-to-find niche talent to completing quick-fill demands.


Position: Quality Improvement Manager

Direct Hir

Salary: $95,000 - $145,000

Location: Camarillo, CA 93010


Modis Burbank is looking for a Quality Improvement Manager for a great client in Ventura County. This position reports to the Director of Quality Improvement and has primary responsibility for the HEDIS data collection process.


In collaboration with the Senior Quality Improvement HEDIS Analyst, this position works with IT to identify solutions and meet deadlines associated with the HEDIS process. The position will work closely with internal partners from the claims, IT, Health Services and Member Services area to ensure the integrity of the plan data.


The QI Manager will be responsible for coordinating with the State for data submission as well as any mandated oversight processes. He/she must have a basic understanding of HEDIS measures as well as a working knowledge of how plan claim, membership and provider data affects the outcomes of the HEDIS measures. The position will be responsible for coordinating all aspects of the process including training of abstractors, IRR,administrative data pulls and manual chart abstraction.


In addition, the QI Manager will assist the Director of Quality and the QI Project Manager in designing and implementing additional Quality Improvement Studies. He/she will contribute to the overall Quality Improvement program by identifying issues and implementing corrective actions when needed. He/she will work with other departments to design initiatives to improve study

results and will lead re-measurement efforts to determine effectiveness.


SKILLS & ABILITIES

Education: Bachelor's Degree (four year college or technical school) Preferred, Field of Study: Nursing or Related Field

Experience: 2 plus years of experience in Managed Care

MediCal and/or managed care.

Management Experience

Data Analysis Experience

Experience in conducting training (small groups or individuals.)

Experience in Quality Improvement activities such as medical record review,

designing and implementing performance improvement projects and/or

utilization management activities.

Experience in developing policies and procedures.

Quality management/regulatory experience with increasing responsibility.

Experience with HEDIS data collection and process.

Knowledge of NCQA health plan accreditation standards and health plan NCQA

accreditation.


Computer Skills: Personal computer skills with knowledge of Microsoft Office software including proficiency in Word,

Excel, PowerPoint, and Access.


If interested, please apply immediately or call directly at 818-531-3416.


Company Information

At Modis, we have the connections and expertise to help save you time and start earning money in the right IT or engineering job for you. We use our insight, knowledge and resources to match you with top positions at leading companies. Many of our clients use our services to help fill positions quickly so they can avoid the time-consuming process of posting jobs and sifting through resumes. This can mean we can offer you access to unadvertised IT and engineering job openings and quick placement opportunities that you wouldn't otherwise know about. Get The Modis Advantage.
Dice Id : 10411532
Position Id : US_EN_6_914737_1033549