PA Health & Wellness · 1 day ago
Director, Quality & Process Improvement
Missouri, United States
Full-time
Onsite
Director/Executive
$118K/yr - $219K/yr
6+ years expCentene is transforming the health of our communities, one person at a time. This Director will lead and direct process improvement initiatives by utilizing methodologies to enhance operations and ensure compliance with audit standards.
FitnessHealth CareWellness
Responsibilities
Oversee the administration, coordination and evaluation of quality assurance and training, including policy and procedure development, training assessments and quality adherence auditing
Direct the execution of performance improvement projects, including process mapping and process design
Create and maintain dashboards, communications, and strategies to improve effectiveness
Research and develop best practices, policies, procedures, and goals in compliance with internal and external guidelines
Oversee data analysis and gathering processes and programs to establish costs and benefits of process effectiveness and efficiency
Ensure business unit is compliant with URAC and Joint Commission Accreditation standards
Review and implement new technological tools and processes
Establish strong collaborative relationships with all functional units and their leaders
Qualification
Required
Bachelors Degree in related field
6+ years of quality and process improvement experience
Knowledge of research methodologies including measures and outcomes
Knowledge of process mapping, process design, and workflow management software and applications
Ensure business unit is compliant with URAC and Joint Commission Accreditation standards
Establish strong collaborative relationships with all functional units and their leaders
Preferred
Healthcare industry experience
URAC and Joint Commission Accreditation experience
Deep experience leading end-to-end HEDIS audits and managing NCQA timelines
Six Sigma/LEAN Certification
Benefits
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
A flexible approach to work with remote, hybrid, field or office work schedules
Company
PA Health & Wellness
Established to deliver quality healthcare in the state of Pennsylvania through local, regional and community-based resources, PA Health & Wellness is a Managed Care Organization and subsidiary of Centene Corporation (Centene).
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Justin Davis
President and Chief Executive Officer
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