Quality Improvement Director - Healthcare jobs in Naperville, IL

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 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 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.