Director, Statewide Quality California Medicaid

dstaff
Apply Now ↗
📍 CA📍 Los Angeles📍 Los Angeles, CA, United States📍 usFull time

About this role

Company Description

Healthcare

Job Description

Director, Statewide Quality California Medicaid

Exp 10-15 yrs

Deg Bachelors

Relo

Bonus

Occasional Travel

 

Job Description

 

Director Clinical QM AGP Plan - LgPln

 

This is a statewide position that will oversee all quality and NCQA activities for the CA Medicaid Business, reporting to the Chief Medical Officer.  Primary duties may include, but are not limited to:

•                   Provides leadership for implementation of The Quality Management Program for the assigned California Health Plan.

•                   Establishes annual goals and objectives.

•                   Promotes understanding, communication, and coordination of the Clinical Quality Management Program.

•                   Oversees Quality Management (QM) Scorecard reporting.

•                   Provides leadership for the development, implementation, and evaluation of Clinical Quality improvement action plans.

•                   Provides leadership for the member/provider satisfaction survey process.

•                   Oversees Health Employer Data Information Sets (HEDIS) reporting and the development of action plans to achieve target improvement goals.

•                   Supports the Health Plans External Quality Review Organization (EQRO) state audit processes.

•                   Participates in the Quality Improvement Council (QIC).

•                   Supports compliance with National Committee for Quality Assurance (NCQA) standards or other accrediting bodies.

•                   Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications

 

•                   Requires a BA/BS.

•                   10 years of experience in quality management.

•                   HEDIS, and health plan experience preferred.

•                   RN, MBA, MPH, or additional Quality certifications preferred.

Qualifications

Additional Information

All your information will be kept confidential according to EEO guidelines.

Direct Staffing Inc


Frequently Asked Questions

Is the salary disclosed for the Director, Statewide Quality California Medicaid position at dstaff?
The salary for this Director, Statewide Quality California Medicaid role at dstaff is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Director, Statewide Quality California Medicaid position at dstaff located?
This Director, Statewide Quality California Medicaid role at dstaff is based in CA, Los Angeles, Los Angeles, CA, United States, us. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Director, Statewide Quality California Medicaid role at dstaff full-time or part-time?
This is listed as a Full time position. It is posted as a Director, Statewide Quality California Medicaid role at dstaff.
How do I apply for the Director, Statewide Quality California Medicaid position at dstaff?
Click the "Apply Now" button on this page. You will be redirected to dstaff's official application portal hosted on smartrecruiters where you can submit your application directly.
When was the Director, Statewide Quality California Medicaid job at dstaff posted?
This Director, Statewide Quality California Medicaid position at dstaff was posted on Nov 22, 2014. Apply as soon as possible — early applications are often reviewed first.
Director, Statewide Quality California Medicaid
dstaff
Apply for this role ↗

You'll be redirected to dstaff's official application page on SmartRecruiters.