Description
The position is a crucial role in overseeing and directing quality improvement initiatives within MedStar Family Choice. Responsible for developing and implementing strategies to enhance the quality of care, improve health outcomes, and ensure compliance with regulatory standards. The Director collaborates with cross-functional teams, healthcare providers, and external stakeholders to drive continuous quality improvement and promote a culture of excellence in healthcare delivery. This is a pivotal role in developing and implementing a comprehensive quality improvement strategy that aligns with MedStar Family Choice's mission, vision, and strategic objectives. Leads cross-functional teams, collaborate with healthcare providers and network partners, and engage with regulatory agencies to drive continuous improvement in healthcare quality and performance. Identifies quality improvement priorities, setting measurable objectives, and implementing evidence-based interventions to address identified quality gaps in care. Leverages advanced analytics and data-driven insights to monitor performance, identify trends, and drive actionable recommendations for improvement. Fosters a culture of quality and accountability by communicating, collaborating, and working closely with internal departments, healthcare providers, and external stakeholders. Provides training, education and support to internal staff and network partners on quality improvement methodologies, performance measurement and regulatory requirements.
Education
- Bachelor's degree in healthcare field (BSN preferred). required and
- Master's degree in healthcare field preferred
- 5-7 years Quality improvement experience within a health plan, preferably a managed Care Organization (MCO), 3 years supervisory experience system development and implementation experience. required and
- 5-7 years Supervisory experience; system development and implementation experiences required and
- 5-7 years Diverse clinical experience required
- RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN license in the local area serving (State of Maryland or District of Columbia); Upon Hire preferred or
- certification in healthcare related field. Upon Hire preferred and
- CPHQ - Certified Professional in Healthcare Quality CPHQ certification Upon Hire preferred
- Knowledge of current trends in health care delivery and population management.
- Knowledge of NCQA, HEDIS, EQRO audits and local regulatory guidelines preferred.
- Strong analytical skills, technical writing skills, excellent problem-solving skills and ability to exercise independent judgment.
- Business acumen and leadership skills.
- Strong verbal and written communication skills with ability to effectively interact with all levels of management, internal departments and external agencies.
- Proficient with Microsoft Office applications especially Word, Excel and PowerPoint.
- Ability to enter and retrieve information using a PC.
- Working knowledge of various computer software applications.
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