Senior Manager, Quality

Role Overview

• Leading and overseeing the health plan’s Quality of Care program
• Managing clinical case reviews and quality-of-care investigations
• Ensuring compliance with Medicaid, CMS, state, and accreditation requirements
• Developing and optimizing operational workflows and policies

Requirements

• Bachelor's degree in appropriate healthcare-related field or equivalent experience
• Knowledge of hospital operations, medical/nursing staff procedures, and community resources
• Excellent leadership and organizational skills
• Working knowledge of Quality Management processes including audits and performance improvement plans

Benefits

• Health insurance
• Retirement plans
• Paid time off