Quality Improvement Director - Healthcare jobs in Providence, RI

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)

H
Quality Improvement Professional
  • Humana
  • Newport, RI FULL_TIME
  • Become a part of our caring community and help us put health first
     

    Humana is seeking a Quality Audit/Improvement Professional who will audit and monitor quality improvement programs for Humana’s Indiana Pathways and LTSS program. The Quality Improvement Professional’s work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

    Position Responsibilities:

    • Audits charts and processes as needed for compliance.
    • Audit records for quality of care and compliance with regulatory requirements.
    • Completes and submits reports to CMS and state regulators as required for clinical studies.
    • Analyzes and summarizes audit data for reporting to manager.
    • Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
    • Completes other assignments and participates in other projects as business areas’ needs arise.
    • Participates in interdepartmental projects and activities.

    The person in this role will have the following skillset:

    • Detail oriented and comfortable working with tight deadlines in a fast-paced environment.
    • Self-starter.
    • Critical thinking skills.
    • Good time management skills and the ability to work independently.


    Use your skills to make an impact
     

    Required Qualifications

    • Two (2) years of relevant experience in health insurance or health care OR two (2) years of relevant experience in auditing.
    • Experience learning new software programs and systems.
    • Proficient in Microsoft Office Word, Excel and PowerPoint

    Preferred Qualifications

    • Bachelor's degree.
    • Audit experience in a healthcare setting.
    • Knowledge of Humana's internal policies, procedures and systems.
    • Experience with Long Term Care programs.
    • Registered Nurse, Licensed Practical Nurse (LPN), or Master’s/Bachelor’s in social work.
    • Knowledge of HEDIS/Stars/CMS/Operational Quality.
    • Previous quality or process improvement experience in a hospital or physician office practice.

    Additional Information

    • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.  
    • Typical Work days/hours: Monday – Friday, 8:00 am – 5:00 pm Eastern Standard Time (EST)
    • Travel: minimal travel to Indiana may be required.

    Nationwide Remote - This is a remote nationwide position.

    WAH Internet Requirements

    To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

    • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
    • Satellite, cellular and microwave connection can be used only if approved by leadership.
    • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
    • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
    • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

    Benefits

    Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

    • Health benefits effective day 1
    • Paid time off, holidays, volunteer time and jury duty pay
    • Recognition pay
    • 401(k) retirement savings plan with employer match
    • Tuition assistance
    • Scholarships for eligible dependents
    • Parental and caregiver leave
    • Employee charity matching program
    • Network Resource Groups (NRGs)
    • Career development opportunities

    HireVue

    As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

    #LI-JP1

    Scheduled Weekly Hours

    40

    Pay Range

    The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


     

    $63,400 - $87,400 per year


     

    This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

    Description of Benefits

    Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


    About us
     

    Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


    Equal Opportunity Employer

    It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

  • 6 Days Ago

T
Health Information/Quality Improvement Technician
  • THRIVE BEHAVIORAL HEALTH INC
  • Warwick, RI OTHER
  • Job Details Job Location: Warwick, RI Position Type: Full Time Salary Range: Undisclosed DescriptionHealth Information/Quality Improvement Technician HI/QI Department General Summary: Responsible for ...
  • 13 Days Ago

P
Executive Director of School Improvement
  • Providence Schools
  • Providence, RI FULL_TIME
  • JOB DESCRIPTION The Opportunity This role is an exciting opportunity to serve as a senior leader within a diverse and dynamic team committed to the audacious task of transforming public education in P...
  • 25 Days Ago

C
Director of Administration-Behavioral Healthcare
  • CODAC
  • Cranston, RI FULL_TIME
  • CODAC believes in saving lives by understanding the whole person. We tailor patient centered, wrap-around care to meet our patients' needs. CODAC uses evidence based addiction treatment medicine and b...
  • 1 Month Ago

A
Director, Quality
  • AspenAerogels Inc
  • East Providence, RI OTHER
  • Aspen Aerogels® is a rapidly growing aerogel technology company founded in 2001 to capitalize on patented advances in aerogel manufacturing. Aspen’s extensive portfolio of proprietary aerogel products...
  • 5 Days Ago

I
Director of Quality and Regulatory Affairs
  • Impact Solutions Inc
  • East Killingly, CT FULL_TIME
  • Summary: Our client seeks a Director to administer the company's quality systems in accordance with customer requirements and supplier’s capabilities. Facilitates the systems required to reach and mai...
  • 10 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Quality Improvement Director - Healthcare jobs found in Providence, RI area

L
Clinical Psychologist Post-Doctoral Fellow
  • LifeStance Health
  • Providence, RI
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 3/18/2024 12:00:00 AM

P
Community Health Worker
  • Providence Housing Authority
  • Providence, RI
  • Job Description Job Description Purpose: The Community Health Worker (CHW) is a dependable and caring member of their co...
  • 3/17/2024 12:00:00 AM

C
Senior Content Manager (Remote)
  • Careerbuilder
  • Providence, RI
  • Imagine a world where everyone has access to clean water, safe food and medicines, and trusted essential goods. That is ...
  • 3/17/2024 12:00:00 AM

S
Travel CT Technologist - $3,200 per week
  • Stability Healthcare
  • Providence, RI
  • Moab Healthcare is seeking a travel CT Technologist for a travel job in Providence, Rhode Island. Job Description & Requ...
  • 3/16/2024 12:00:00 AM

C
Lead Cloud Engineer - Remote, US
  • Careerbuilder
  • Providence, RI
  • Earnests mission is to make higher education accessible and affordable for everyone. We empower past, present, and soon-...
  • 3/15/2024 12:00:00 AM

C
Lead CX/UX Research Consultant - Remote R0039941
  • Careerbuilder
  • Providence, RI
  • Wolters Kluwer Lead CX/UX Research Consultant - Remote R0039941 Providence , Rhode Island Apply Now Lead CX/UX Research ...
  • 3/15/2024 12:00:00 AM

R
Nurse Supervisor
  • Rhode Island Hospital
  • Providence, RI
  • Summary: The Nurse Supervisor reporting to either the Administrative Director Clinical Systems or the Manager Pediatric ...
  • 12/19/2023 12:00:00 AM

R
Registered Nurse Emerg Response Team
  • Rhode Island Hospital
  • Providence, RI
  • Summary: Under the direct supervision of the Clinical Manager/ Director (or designee) implements supervises and evaluate...
  • 11/10/2023 12:00:00 AM

The Providence city limits enclose a small geographical region with a total area of 20.5 square miles (53 km2); 18.5 square miles (48 km2) of it is land and the remaining 2.1 square miles (5.4 km2) is water (roughly 10%). Providence is located at the head of Narragansett Bay, with the Providence River running into the bay through the center of the city, formed by the confluence of the Moshassuck and Woonasquatucket Rivers. The Waterplace Park amphitheater and riverwalks line the river's banks through downtown. Providence is one of many cities claimed to be founded on seven hills like Rome. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Quality Improvement Director - Healthcare jobs
$119,236 to $162,322
Providence, Rhode Island area prices
were up 1.6% from a year ago

Quality Improvement Director - Healthcare in New Bedford, MA
Quality improvement is meant for enhancing safety, effectiveness, and efficiency.
February 14, 2020
Quality Improvement Director - Healthcare in Temple, TX
Once quality improvement leaders establish a vision, they need to communicate the vision to physicians and staff to gain buy-in.
February 14, 2020
Quality Improvement Director - Healthcare in Duluth, MN
"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