Quality Improvement Director - Healthcare jobs in Elgin, IL

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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Director - Quality Improvement
  • Health Care Service Corporation
  • Chicago, IL FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

    Come join us and be part of a purpose driven company who is invested in your future!

    Job Summary

    This position is responsible for managing and directing clinical quality improvement and population health oversight activities, driving continuous quality improvement consistent with HCSC goals, regulatory requirements, and accreditation. The director will remain current with best practices and innovations in the areas of quality improvement, population health and clinical quality measurement, and provide guidance and support to local quality teams and HCM stakeholders. Fundamental to the role is a mastery of healthcare quality improvement methodologies and the measurement of healthcare processes and structures that contribute to primary and intermediary health outcomes. This person must possess extensive experience with HEDIS, NCQA, URAC, STARS, quality improvement, best practices, and innovative strategies to improve the quality of care and member experience; as well as a working knowledge of medical policy issues, condition management, and social determinants of health/health equity.

    Responsibilities include:

    *Oversee a team responsible for evaluating and developing quality improvement and population health programs and initiatives that lead to improvements in clinical quality outcomes, with attention to care disparities and social determinants of health.
    *Work with the Enterprise Quality Reporting (EQR) team to identify line of business and regional variations in clinical quality measures and population health statistics to inform targeted solutions.
    *Collaborate with EQR to design, deliver and communicate reporting tools to support quality improvement and accreditation efforts.
    *Work with the quality, data science and analytics teams to measure the impact of existing quality programs, design and communicate initiatives that effectively target variations in healthcare measures.
    *Collaborate with Quality Operations team to coordinate quality improvement outreach efforts and initiatives and that support Accreditation Governance strategy.
    *Partner with EQ&A and Quality Improvement Committee Meetings around quality best practices.
    *Develop, review, and sign off on relevant policies and procedures.
    *Maintain regular communication with management regarding developments within areas of assigned responsibilities and perform special projects as required or requested.
    *Maintain currency with HEDIS, Hospital and other quality data sets, accreditation standards and a knowledge of marketplace, products, health care initiatives, technology, etc.
    *Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
    *Support and/or provide cross coverage in support of additional functions to ensure seamless execution of divisional priorities.
    *Maintain complete confidentiality of company business.
    *Other duties as assigned.

    JOB REQUIREMENTS:

    • Bachelor's Degree with 10 years' experience in a healthcare insurance or provider setting in a quality improvement function or oversight role.

    • Clinical degree and/or formal training and leadership experience in public health, clinical research, or a healthcare-related field

    • 5 years leadership/management experience

    • Proven track record in developing innovative quality improvement strategies.

    • Strong analytical, presentation & clear, concise verbal / written communication skills

    • Ability to adapt complex concepts to a range of audiences & express complex relationships in simple visual terms.

    • Executive presence with the ability to influence inside and outside HCSC.

    • Business and financial acumen; experience with operating, budgeting, and financial forecasting

    • Experience leading, formulating, and delivering strategy; building strong connections with people and team.

    • Ability to work effectively within a matrixed organization with multidisciplinary teams, across multiple geographic areas, with attitude toward team building.

    • Able to meet deadlines under pressure.

    • Willing and able to travel out of state.

    PREFERRED JOB REQUIREMENTS:

    • RN or post-graduate education in Health Care Administration or a health-related field, public health and/or MBA.

    • extensive experience with HEDIS

    • Quality experience and Medical Management experience in a leading managed care/insurance or provider organization.

    • Health Informatics Training

    • Familiarity with clinical coding and statistical and reporting software.

    • Knowledge of health care reimbursement models.

    • Experience in provider and vendor negotiations and contracting models, provider relation and member services.

    • Familiarity with Government Programs, Stars ratings and Retail products

    We encourage people of all backgrounds and experiences to apply. Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet.

    Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

    HCSC Employment Statement:

    HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

     

  • 9 Days Ago

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Director Quality and Performance Improvement
  • Sinai Chicago
  • Chicago, IL FULL_TIME
  • About Us: At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dign...
  • 1 Month Ago

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Manager of Quality Improvement - Quality
  • ACCESS Community Health Network
  • Chicago, IL FULL_TIME
  • We are an equal opportunity employer. All qualified applicants will receive consideration for employment. We do not discriminate for any reason. We welcome talented individuals who believe in our miss...
  • 1 Month Ago

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Quality Builders - Inside Sales Representative (Future Director of Sales)
  • Inside Sales Representative (Future Director of Sales) - 1871 Member Company
  • Chicago, IL FULL_TIME
  • Stop! This job is NOT for you if: You do not fit into our culture and buy into our vision You lack a growth & entrepreneurial mindset You prefer everything to be set up perfectly for you You avoid ext...
  • 1 Month Ago

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Quality Specialist - Continuous Quality Improvement
  • uic
  • Chicago, IL FULL_TIME
  • UI Health is seeking a Quality Specialist to join our Continuous Quality Improvement team. This role will lead continuous improvement programs throughout the organization and helps develop a culture o...
  • 17 Days Ago

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Quality Specialist - Continuous Quality Improvement
  • University of Illinois
  • Chicago, IL FULL_TIME
  • Quality Specialist - Continuous Quality Improvement Hiring Department: Continuous Quality Improvement Hiring Unit: University of Illinois Hospital & Health Sciences System (UI Health) Location: Chicag...
  • 17 Days Ago

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0 Quality Improvement Director - Healthcare jobs found in Elgin, IL area

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Senior Director of Sales & Marketing
  • Encore Village of Schaumburg
  • Schaumburg, IL
  • Encore Village of Schaumburg - Encore Village of Schaumburg is currently hiring for a full time Senior Director of Sales...
  • 4/16/2024 12:00:00 AM

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Speech Language Pathologist
  • Birch Agency
  • Palatine, IL
  • Job Description Job Description Job description We have several openings for school based Speech Language Pathologists n...
  • 4/16/2024 12:00:00 AM

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Building Services Coordinator (Maintenance Director) - Memory Care
  • Promedica
  • Dundee, IL
  • In this Hands-on position, you oversee day-to-day activities and personnel within your service area. Because you are alw...
  • 4/15/2024 12:00:00 AM

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Food Service Assistant - Memory Care - Part-time - Days
  • Promedica
  • Streamwood, IL
  • As a Food Service Assistant, you assist the Food Service Coordinator/Director and/or cook in maintaining a clean kitchen...
  • 4/15/2024 12:00:00 AM

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Food Service Assistant - Memory Care - Part-time - Days
  • Promedica
  • Lafox, IL
  • As a Food Service Assistant, you assist the Food Service Coordinator/Director and/or cook in maintaining a clean kitchen...
  • 4/15/2024 12:00:00 AM

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Staff Nurse (Registered Nurse/License Practical Nurse) NIGHT SHIFTS ONLY
  • The Alden Network
  • Huntley, IL
  • Alden of Huntley, a new state of the art rehabilitation and nursing facility, are looking for nurses to join our team We...
  • 4/15/2024 12:00:00 AM

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Director, Healthcare Policy & Strategy
  • Endeavor
  • Chicago, IL
  • Director, Healthcare Policy and Strategy About Our client is a progressive real estate firm with a strategic focus on th...
  • 4/13/2024 12:00:00 AM

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Phlebotomist I- Outpatient
  • Dupage Medical Group
  • Bloomingdale, IL
  • Overview Location: Bloomingdale. Travel Required. Hours: Full-Time. 40 hours per week. Monday- Friday; Must be willing t...
  • 4/12/2024 12:00:00 AM

Elgin (/ˈɛldʒɪn/ EL-jin) is a city in Cook and Kane counties in the northern part of the U.S. state of Illinois. Located roughly 35 mi (56 km) northwest of Chicago, it lies along the Fox River. As of 2017, the city had an estimated population of 112,456, making it the eighth-largest city in Illinois....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Quality Improvement Director - Healthcare jobs
$117,123 to $159,442
Elgin, Illinois area prices
were up 0.8% from a year ago

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"In general, we don't have a culture of feeling comfortable discussing opportunities for improvement, especially when it comes to the way relationships can be managed," Ms.
January 30, 2020