Manager, Quality Improvement-Health Plan

Location:

Department:

Shift:

Standard Weekly Hours:

Summary:

Additional Information:

The Manager - Quality Improvement (MQI) oversees the Quality Improvement Program of Cook Childrens Health Plan (CCHP). The MQI is charged with staff guidance and supervision state and regulatory quality compliance HEDIS reporting activities quality improvement initiatives quality of care measurement and outcomes policy and procedure development and internal and external quality reviews.

The MQI is a leader and a subject matter expert in improving HEDIS performance and continuous quality improvement. The MQI regularly interacts with employees at all levels of CCHP and Cook Childrens Healthcare System in collaboration with CCHP members providers and assigned vendors.

Qualifications:

• Bachelors Degree in a related field from an accredited college or university required.

• 4 years experience working with Medicaid quality improvement risk management or care management including at least 1 year of management experience is required.

Knowledge Skills & Abilities:

• Proficient in HEDIS Project Management coordination and data collection.

• Administration and Management Knowledge of business and management principles involved in strategic planning resource allocation human resources modeling leadership techniques production methods and coordination of people and resources.

• Business Acumen - the ability to understand and deal with various business situations in a way that is likely to lead to a positive outcome seeing the bigger picture anticipating challenges and identifying opportunities for growth and improvement.

• Coaching and Developing Others Identifying the developmental needs of others and coaching mentoring or otherwise helping others to improve their knowledge or skills.

• Communicating Communicating effectively orally and in writing as appropriate for the needs of the audience expressing or exchanging ideas through verbal communications.

• Medical Principles - Knowledge of and ability to apply professional medical principles procedures and techniques.

• Technology - Demonstrated proficiency with technology platforms for example Microsoft Office Suite (Excel Word PowerPoint).

Licensure Registration and/or Certification

• Certified Professional in Healthcare Quality (CPHQ) required.

About Us:

Cook Childrens Health Plan

Cook Childrens Health Plan provides vital coverage to nearly 120000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Childrens Health Plan provides health coverage for CHIP CHIP Perinatal STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant Johnson Denton Parker Hood and Wise.

Cook Childrens is an equal opportunity employer. As such Cook Childrens offers equal employment opportunities without regard to race color religion sex age national origin physical or mental disability pregnancy protected veteran status genetic information or any other protected class in accordance with applicable federal laws. These opportunities include terms conditions and privileges of employment including but not limited to hiring job placement training compensation discipline advancement and termination.