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Priority Health · 1 day ago

Manager Medicare Stars Quality Improvement

Grand Rapids, MI

Full-time

Onsite

Senior Level

7+ years exp

Priority Health is a health system committed to quality improvement and patient safety. The Manager Medicare Stars Quality Improvement will oversee the Quality Improvement Department, managing projects and leading teams to enhance healthcare practices and ensure compliance with regulations.

Health Care

Responsibilities

Supports quality improvement activities with annual project plans outlining measurable deliverables and quarterly milestones, ensuring services are provided in accordance with state and Federal regulations, organizational policy and procedures, medical staff by-laws, and accreditation / compliance requirements

Expertise in leading team activities in a manner that is organized but fosters creative thinking and activity. Identifies and monitors project scope, target timelines, resource requirements, cost, milestones, data requirements and completes documents and reports as necessary

Manages the work priorities of the Quality Improvement Department on high volume, high cost, and high-risk projects. Delegates the general work assignment areas for all employees and assigns special projects individually. Mentors, coaches and develops employees while being a role model and resource to them

Responsible for interviewing, hiring, retaining employees and members of the team, monitoring performance monitoring. Initiating when appropriate, follow through with disciplinary action and termination in consultation with Human Resources for service. Mentors, coaches and develops employees and developing Smart Objectives

Expert in communicating team results on a routine basis to management and key players in a timely and complete manner. Maintains knowledge of team activities and keeps strict confidentiality as appropriate. Has expertise in process improvement theory and strategies, data analysis and change theories. Shares key learnings with others and fosters direct and honest communication

Manage and coordinate the development and implementation of patient safety culture behaviors and initiatives within the physician clinical practice

Networks with peers in the field and ensures that all services are provided in a manner consistent with state and Federal regulation, organizational policy, accreditation, and/or compliance. Knows and support key organizational strategies and incorporates them into team strategies. Maintains knowledge of current trends and developments in the field by reading appropriate books, journals, and other literature and attending related conferences, seminars, etc

Qualification

Quality ImprovementData AnalysisTeam LeadershipProject ManagementHealthcare ExperienceProcess Improvement TheoryMultidisciplinary TeamworkCertification in QualityCommunication SkillsMentoring

Required

Bachelor's Degree or equivalent, in health care, engineering, case management, business administration

7 years of relevant experience skills, knowledge, abilities typically gained through 7 years of related health care, business, or quality improvement experience

3 years of relevant experience leading others