Merakey · 3 weeks ago
Quality Assurance Risk Manager
Merakey is a non-profit provider of developmental, behavioral health, and education services. They are seeking a Quality Assurance Risk Manager responsible for identifying, analyzing, and mitigating potential risks impacting the organization's financial health and operational efficiency while ensuring compliance with regulatory requirements.
EducationHealth CareNon Profit
Responsibilities
Identify, analyze, and mitigate potential risks that could impact the organization's financial health, reputation, and operational efficiency
Directly interface with Payers/State Agencies in response to and in resolution of measurement-based care. Serve as primary contact for program management
Aggregate and analyze data from payer Value Base/Quality Incentive Program, indicators, investigations, audits, corrective action plans, licensing inspection surveys, serious incidents, staffing, etc., to identify systemic concerns, trends and make value added recommendations for focused quality improvement efforts
Ensure regulatory compliance with quality system procedures, complaint handling, satisfaction survey, safety, and adverse events reporting
Serve as Project lead for assigned activities from the quality and risk management plan; delegate and assign project tasks and cases to team members
Coordinate with team supervisor/managers on initial assignment of development and follow up for implementation of improvement processes
Conduct risk screening/assessments, investigations, and root cause analysis
Support the development and implementation of improvement plans in response to identified risk areas
Assist in the development of the annual Quality Assurance Risk Management Plan
Facilitate Quality/Risk Management meetings & discussion with members of program management relative to quality improvement initiatives
Assist with the completion of safety inspection at least annually of each service location owned, rented, or leased by the provider
Assist in the development of technology infrastructure to support the Quality Management Process
Attend cross training for quality/risk improvement functions
Qualification
Required
Experience in identifying, analyzing, and mitigating potential risks
Strong analytical skills and tools to forecast and manage risks
Knowledge of regulatory compliance requirements
Ability to interface with Payers/State Agencies
Experience in aggregating and analyzing data from various sources
Ability to ensure regulatory compliance with quality system procedures
Experience in conducting risk screening/assessments and root cause analysis
Ability to support the development and implementation of improvement plans
Experience in facilitating Quality/Risk Management meetings
Ability to assist in the development of technology infrastructure for Quality Management
Benefits
Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions.
DailyPay -- access your pay when you need it!
On the Goga well-being platform, featuring self-care tools and resources.
Access Care.com for backup childcare, elder care, and household services.
Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).
Tuition reimbursement and educational partnerships.
Employee discounts and savings programs on entertainment, travel, and lifestyle.
Access to Pryor Online Learning for free online personal development classes.
Company
Merakey
Merakey is a non-profit organization that provides behavioral and mental retardation education services.
Funding
Current Stage
Late StageTotal Funding
$0.24MKey Investors
NJ Human Services
2024-09-04Grant· $0.24M
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