CTG MANAGER, QUALITY IMPROVEMENT in Clayton, Missouri
Title: MANAGER, QUALITY IMPROVEMENT
Job Number: 17205099
Manager, Quality Improvement
Our client in the healthcare industry has an immediate opportunity for a full time Manager, Quality Improvement in Clayton, MO. This is a permanent placement opportunity!
Our client is now one of the largest providers of Medicaid, Medicare Advantage, and other government-sponsored and commercial programs in the country. They provide access to affordable healthcare to more than 11 million members across the country.
This is a great opportunity to work with one of the fast growing Fortune 500 companies that has a multi-line healthcare enterprise that provides services to government healthcare programs. If you are selected for this opportunity, you will be surrounded by colleagues who are dedicated to meeting their own high standards, to inspiring their teammates and to making a positive impact on under-insured and uninsured individuals. Our client’s employees are fast, agile, customer-focused multi-taskers with a commitment to implementing the latest technologies. If these same things get you excited, we hope to hear from you.
Position Purpose: Oversee and manage the functions of the quality improvement program, including HEDIS reporting and other quality improvement activities. Providing support to staff and communicate with departments and staff to facilitate daily quality improvement (QI) functions.
Review and analyze reports, records and directives.
Confer with staff to obtain data such as new projects, status of work in progress, and problems encountered, required for planning work function activities, including HEDIS reporting.
Verify data to be submitted in accordance with government program requirements and ensure compliance with state, federal and certification requirements.
Prepare reports and records on work function activities for management.
Oversee the review and analysis of reports.
Evaluate current procedures and practices for accomplishing the assigned work functions objectives to develop and implement improved procedures and practices and to ensure compliance with required standards.
Manage delegate vendor oversight and corrective action plans as indicated.
Monitor and analyze costs and participate in the preparation of the budget.
Bachelor’s degree in health related field.
4 years of quality improvement with experience in clinical quality improvement (HEDIS) and managed care environment.
2 to 3 years of Supervisory experience in a healthcare environment preferred.
Nursing background preferred.
Project management preferred.
HEDIS reporting and Excel/PowerPoint skills required.
License/Certification: Certified Professional in Healthcare or quality improvement certification preferred.
To be considered please immediately apply to this requisition using the link provided. For additional information please contact Sara Wade at firstname.lastname@example.org or 716-882-8000 x 4908.
Kindly forward to any other interested parties—thank you!
CTG is the most reliable IT services provider, built on 50 years of meeting our commitments to make technology work for clients and deliver real business value. CTG provides industry-specific IT strategy, services, and solutions that address the business needs and staffing challenges of clients in high-growth industries, including major technology companies, large corporations, and government entities located in North America and Western Europe.
CTG's greatest asset is its people, and as such we are committed to providing employees programs and processes to support their performance, hone their skills, and advance in their careers. This commitment is reflected by CTG being named a Best Places to Work Company by Modern Healthcare (since 2013) in North America, and a Best Places to Work Company in the United Kingdom (2013), Belgium (since 2007), and Luxembourg (since 2011).
CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.
CTG is an Equal Opportunity/Affirmative Action Employer and strong advocate of workforce diversity. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.
Job: Health Payer