Director of Quality Management

<p>VillageCareMAX is looking for a motivated individual with an&nbsp;active NYS (RN, NP, PA or MD) License for our Director of Quality Management role.&nbsp; Seeking those who bring excellent technical skills, a collaborative style and strong leadership.</p>



<p><strong>VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and rehabilitation services.&nbsp;</strong></p> <p><strong>Our mission is to promote healing, better health and well-being to the fullest extent possible. &nbsp;<br /><br />Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has provided health care services to individuals residing within New York City for over 40 years.</strong></p>

keywords: quality management,plan strategy,manage data,department collaboration,experience,education,industry knowledge



Overview: This position designs, develops and monitors the quality management and improvement activities for all product lines across the health plan. The Director of Quality Management will also have oversight of staff within the Quality Department and will maintain all regulatory and compliance standards as well.
Responsibilities: <p>Develops and manages annual quality work plan and updates, as well as regulatory updates impacting the VCM Quality Program for all lines of business.&nbsp;Develops, implements, and drives the organizations quality management and improvement strategy, in order to ensure that the plan achieves high scores on publicly reported and incentivized ratings, for all products.&nbsp;Works with medical director and other VCMAX leadership to select and complete Quality Improvement Studies, including selection of studies relevant to the MLTC and Medicare populations. Studies include those internally determined and externally monitored and reported.&nbsp;Oversee and manage HEDIS data submission, audit, and related improvement initiatives.&nbsp;Oversee and manage CAHPS and HOS surveys, and related improvement initiatives.</p>
Requirements: <p>We would like to speak to those who have a bachelor's degree along with an active NYS (RN, NP, PA or MD) License required. Seeking those who bring a minimum of 5 years management experience in a health-related field along with 3 years' experience in a quality management position. Knowledge of regulatory structure governing quality management in Medicare and Medicaid health plans. Experience analyzing and using data to drive improvement activities</p> <p>&nbsp;</p>