Quality Improvement Director - Healthcare jobs in Detroit, MI

Quality Improvement Director - Healthcare leads and directs process and overall quality improvement activities that produce better patient care and more efficient operations. Develops programs to review and evaluate patient care and outcomes. Being a Quality Improvement Director - Healthcare implements a strategy and plans for a quality improvement function within the facility in collaboration with the administrative and clinical leaders of the hospital. Tracks and presents results of improvement efforts and ongoing measures of clinical processes to management. Additionally, Quality Improvement Director - Healthcare requires a bachelor's degree. Typically reports to top management. The Quality Improvement Director - Healthcare typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Quality Improvement Director - Healthcare typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Program Director, Quality Improvement - QI Compliance - Remote in Michigan
  • Molina Healthcare Group
  • Troy, MI FULL_TIME
  • Job Description

    JOB DESCRIPTION

    Job Summary

    Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.

    KNOWLEDGE/SKILLS/ABILITIES

    The Program Director is a key Quality Improvement (QI) leader within the organization, empowered to advise senior management and other departments on Quality strategies and initiatives. This is an individual contributor role that leads programs/projects in one or more of the following critical QI functional areas: HEDIS Performance Measurement, which conducts data collection, reporting and monitoring for key performance measurement activities; Quality Reporting, which develops reports to meet QI requirements and oversees the use of automated software tools and processes; Clinical Quality Interventions, which develops, implements and monitors the success of QI activities; and QI Compliance, which provides the strategic direction and implementation of corporate and/or Molina plan NCQA accreditation surveys and federal and state QI Compliance activities.

    • Serves as a QI subject matter expert and leads programs to meet critical Quality needs.
    • Manages QI programs with oversight from the Director, AVP and VP as needed.
    • Collaborates and facilitates activities with other units at Corporate and within Molina State Plans.
    • Provides direction for QI program activities with department leadership including leading Corporate quality initiatives that require timely follow-up, tracking and communication on an on-going basis.
    • Communicates with and escalates gaps and barriers in implementation and compliance to department leadership, including proposed resolution.
    • Monitors and tracks key quality indicators, programs, and initiatives to reflect the value and effectiveness of the quality program.
    • Develops and ensures that automated reporting and interventions tools are implemented effectively (through development, training and roll out).
    • Collaborates with Molina State Plans to identify areas and strategies for improved reporting and use of reporting tools.
    • Leads key Clinical Intervention activities including implementation of national and state-based Quality interventions, meeting state and federal intervention rules and aligned with best practices identified in literature and within Molina plans.
    • Works with Molina Plans and QI leadership to ensure that interventions are communicated, monitored, and reported on a timely basis to demonstrate program effectiveness.
    • Facilitates and builds high quality clinical care/services through relationships with key departments within Molina and at Molina plans.
    • Leads HEDIS Performance Measurement programs using knowledge, skills and technical expertise in performance measurement, data collection and reporting.
    • Maintains confidentiality and complies with the Health Insurance Portability and Accountability Act (HIPAA).

    JOB QUALIFICATIONS

    Required Education

    Bachelor's Degree or equivalent combination of education and work experience.

    Required Experience

    • Minimum of 7 years relevant experience, including at least 5 years in health plan quality improvement.
    • Demonstrated knowledge of and experience with HEDIS programs.
    • 2 years Medicaid experience
    • 2 years Medicare experience
    • 3 years management experience
    • Operational knowledge and experience with Excel and Visio (flow chart equivalent).
    • Proficiency with data manipulation and interpretation.
    • NCQA Accreditation experience.

    Preferred Education

    Master's Degree or higher in a clinical field, IT, Public Health or Healthcare Administration.

    Preferred Experience

    • HEDIS reporting or collection experience
    • CAHPS improvement experience
    • State QI experience
    • 3 years’ experience in Reporting & Analytics
    • 3 years’ experience in Health Care Industry
    • Quality program leadership and direction

    Preferred License, Certification, Association

    • Certified Professional in Health Quality (CPHQ)
    • Nursing License (RN may be preferred for specific roles)
    • Certified HEDIS Compliance Auditor (CHCA)

    To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

    Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

    Job Info

    Job Identification: 2025024

    Job Category: Quality and Risk Adjustment

    Posting Date: 2024-03-15T14:40:02 00:00

    Job Schedule: Full time

  • 9 Days Ago

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RN Quality Improvement Specialist
  • Corewell Health
  • Grosse Pointe, MI FULL_TIME
  • About Grosse Pointe HospitalRecognized by U.S. News & World Report as one of the best hospitals in the nation. It is a Magnet-designated facility that provides exceptional nursing and advanced care se...
  • 6 Days Ago

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Quality Improvement Specialist
  • All Well-Being Services
  • Detroit, MI FULL_TIME
  • Job Description Summary The Quality Improvement Specialist must be able to assist in providing quality assurance throughout the entire Agency. This position will also assist in the supervision of work...
  • 8 Days Ago

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Quality Improvement Specialist
  • Universal Health Services, Inc.
  • Auburn, MI FULL_TIME
  • Responsibilities Quality Analyst, Full-Time, Monday - Friday.HAVENWYCK HOSPITAL (a UHS facility)Havenwyck Hospital is a 243 bed Joint Commission accredited and licensed psychiatric hospital in Auburn ...
  • 10 Days Ago

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Quality Improvement Specialist
  • UHS
  • AUBURN HILLS, MI FULL_TIME
  • Responsibilities Quality Analyst, Full-Time, Monday - Friday.HAVENWYCK HOSPITAL (a UHS facility)Havenwyck Hospital is a 243 bed Joint Commission accredited and licensed psychiatric hospital in Auburn ...
  • 13 Days Ago

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RN Quality Improvement Specialist
  • Corewell Health
  • Wayne, MI PART_TIME
  • About Wayne HospitalRecognized by the US News & World Report as a high-performing facility in congestive heart failure, chronic obstructive pulmonary disease, kidney failure, and maternal services. It...
  • 13 Days Ago

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0 Quality Improvement Director - Healthcare jobs found in Detroit, MI area

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Director Actuarial & Healthcare Analytics (Hybrid or Remote) - Health Alliance Plan
  • Henry Ford Health System
  • Troy, MI
  • Health Alliance Plan (HAP) is seeking a dynamic leader as the Director, Actuarial and Healthcare Analytics. As the Direc...
  • 3/28/2024 12:00:00 AM

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Director of Case Management
  • Tenet Health
  • Detroit, MI
  • POSITION SPECIFIC RESPONSIBILITIES: Department Operations · Maintains an adequate number and skill mix over seven days a...
  • 3/28/2024 12:00:00 AM

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Staff - Registered Nurse (RN) - Educator - $34-46 per hour
  • Detroit Medical Center
  • Detroit, MI
  • Job Description Detroit Medical Center is seeking a Registered Nurse (RN) Educator for a nursing job in Detroit, Michiga...
  • 3/28/2024 12:00:00 AM

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Senior Sales Executive
  • EssilorLuxottica
  • Detroit, MI
  • Requisition ID: 839502 Position:Full-Time Total Rewards: Benefits/Incentive Information There's more to EyeMed than meet...
  • 3/27/2024 12:00:00 AM

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Associate Scientist - Dermatology (New Center One)
  • Henry Ford Health System
  • Detroit, MI
  • To qualify for this senior level position, the individual must have a PhD, MD or equivalent degree; post-doctoral resear...
  • 3/27/2024 12:00:00 AM

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Senior Interior Designer
  • AECOM
  • Detroit, MI
  • **Company Description** **Work with Us. Change the World.** At AECOM, we're delivering a better world. Whether improving...
  • 3/27/2024 12:00:00 AM

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Director of Social Services
  • Ciena Healthcare
  • Detroit, MI
  • Are you a social worker dedicated to improving the lives of seniors? As the Director of Social Services at Ciena Healthc...
  • 3/26/2024 12:00:00 AM

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Case Manager RN
  • Emergent Holdings, Inc.
  • Southfield, MI
  • The telephonic RN Case Manager position is responsible for utilizing the nursing process in the development of member tr...
  • 3/25/2024 12:00:00 AM

Detroit (/dɪˈtrɔɪt/, locally also /ˈdiːtrɔɪt/; French: Détroit, lit. 'strait') is the largest and most populous city in the U.S. state of Michigan, the largest United States city on the United States–Canada border, and the seat of Wayne County. The municipality of Detroit had a 2017 estimated population of 673,104, making it the 23rd-most populous city in the United States. The metropolitan area, known as Metro Detroit, is home to 4.3 million people, making it the second-largest in the Midwest after the Chicago metropolitan area. Regarded as a major cultural center, Detroit is known for its co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Quality Improvement Director - Healthcare jobs
$114,493 to $155,864
Detroit, Michigan area prices
were up 1.2% from a year ago

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