Director Clinical Quality Management (US)
- IN-INDIANAPOLIS, 220 VIRGINIA AVE, United States of America
- GA-ATLANTA, 740 W PEACHTREE ST NW
- IL-CHICAGO, 233 S WACKER DR, STE 3700
- KY-LOUISVILLE, 13550 TRITON PARK BLVD
- OH-CINCINNATI, 3075 VANDERCAR WAY
- OH-MASON, 4241 IRWIN SIMPSON RD
- VA-RICHMOND, 2015 STAPLES MILL RD
Director Clinical Quality Management
Location: This position will work a hybrid model (remote and office). Must live within 50 miles/1 hour commute of an Elevance Health location.
The Director Clinical Quality Management is responsible for the oversight of day-to-day operations of accreditation and quality infrastructure work performed to meet regulatory requirements and client requirements.
How you will make an impact:
- Directs the development of a national quality plan and the integration of quality into the overall business process.
- Evaluates industry best practices, medical research, and other resources to develop clinical programs and tools which facilitate and support quality, cost-effective care.
- Develops and implements an annual plan detailing the strategies, programs and tools to be implemented.
- Assures compliance with corporate QI work plans.
- Assures that all QI activities are relevant to the needs of targeted population.
- Maintains documentation of research programs to meet regulatory and Accreditation Standards.
- Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of results of data analysis.
- Tracks program performance and results.
- Works with both internal and external customers to promote understanding of health services activities and objectives and to prioritize projects according to corporate, regional, and departmental goals.
- Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Qualifications:
- Requires a BA/BS in a clinical or health care field (i.e. nursing, epidemiology, health sciences); 5 years of management experience in a health care environment; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
- MS or advanced degree in a health care related field (i.e. nursing, health education) or business preferred.
- Previous experience working with NCQA Accreditation and HEDIS preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.