Senior HEDIS Manager
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Job Location:
Houston, MS - USA
Monthly Salary:
Not Disclosed
Posted on:
11 days ago
Vacancies:
1 Vacancy
Job Summary
Were searching for a Senior HEDIS Manager someone who works well in a fast-paced this position youll be responsible for overseeing maintaining and supporting the departments active programs which include but are not limited to: Quality Improvement Initiatives (QIAs) accreditation CAPs quality escalations regulatory notices intra-departmental shared operations accreditation oversight and others.
Think youve got what it takes
Job Duties & Responsibilities
- Leads quality strategy meetings related to assigned projects and quality initiatives
- Assures compliance with QI work plans
- Maintains effective documents of research programs to meet regulatory and accreditation standards
- Leads interactions with regulators or oversight entities including related accreditation vendors
- Leads efforts to identify best practices Identifies potential issues project change and scope
- Manages audits to ensure compliance with NCQA standards and regulatory initiatives
- Conducts regularly scheduled audits of the quality programs and initiatives (QIAs)
- Conducts internal audits to ensure required regulatory and accreditation metrics are being met and protocols are being followed
- Manages and reports on all clinical and non-clinical program reports and metrics on a standard frequency
- Escalates to leaders when metrics are unmet and outliers are identified. Assists with conducting root cause analysis
- Creates policies procedures job aids and training materials to stand up new program
- Collaborates with Education to ensure trainings are deployed to internal and external teams
- Communicates with co-workers on joint projects and initiatives
- Incorporates ongoing changes to accreditation and regulatory documents trackers
Skills & Requirements
- Bachelors degree in healthcare healthcare administration or related business degree required
- CPHQ - Cert-Cert Prof Healthcare Qual by The Certified Professional in Healthcare Quality preferred
- 5 years of experience in a health plan with quality improvement health plan accreditation and or regulatory reporting required
- 3 years of experience as a program manager or related role with oversight of multiple programs required
Required Experience:
Manager
Key Skills
- Program Management
- FDA Regulations
- Management Experience
- Facilities Management
- Clinical Development
- Data Management
- Quality Systems
- Project Management
- Research & Development
- GLP
- Budgeting
- Leadership Experience
About Company
Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades suc ... View more
