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Company

Original Job Post

Elevance Health · 2 days ago

Government Business Quality Management Health Plan Director

Los Angeles, CA

Full-time

Hybrid

Director

$111K/yr - $199K/yr

5+ years exp

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Responsibilities

Works with both internal and external customers to promote understanding of quality management activities and objectives within the company and to prioritize departmental projects according to corporate, regional, and departmental goals.

Maintains expert knowledge of current industry standards, quality improvement activities, and strong medical management skills.

Serves as a resource for the design and evaluation of process improvement plans/quality improvement plans and ensures they meet Continuous Quality Improvement (CQI) methodology and state contractual requirements.

Collaborates with other leaders in developing, monitoring, and evaluating Healthcare Effectiveness Data Information Set (HEDIS) improvement action plans, year-round medical record review, and over-read processes.

Monitors and reports quality measures per state, Centers for Medicare and Medicaid Services (CMS), and accrediting requirements.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Healthcare Industry KnowledgeQuality ImprovementMedical ManagementProblem-Solving CommunicationHealthcareNursingHealth EducationNCQAHEDIS

Required

BA/BS in a clinical or health care field (i.e. nursing, epidemiology, health sciences)

Minimum 5 years progressively responsible experience in a health care environment

Expert knowledge of current industry standards, quality improvement activities, and strong medical management skills

Preferred

MS or advanced degree in a health care related field (i.e. nursing, health education) or business

Previous experience working with NCQA, and HEDIS

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Company

Elevance Health

Glassdoor

3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10,001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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2023 (510)

2022 (370)