Quality Improvement Manager

General Summary: The Quality Improvement Manager provides daily support and guidance to the Quality Improvement Team, under the direction of the Director of QI & Compliance. The QI Manager is responsible for ensuring all reporting deliverables are met, medical records system is maintained, and quality improvement strategies are implemented across the organization. The QI Manager is responsible for supervision and oversight of the Department’s QI Specialists and Medical Records staff.
JOB RESPONSIBILITIES:
Contract/Business Deliverables:

Develops and oversees systems and process in meeting organization contract deliverable requirements.
Maintains knowledge of quality reporting requirements of funders, contracts, regulatory, and accreditation entities. Educate and update staff on requirements to ensure ongoing understanding and compliance
Monitors and ensures reporting systems are reliable and accurate in reporting.
Ensures reports are prepared in accordance with contract obligations and/or prepared as outlined by the business function (programs, administration, etc.).
Apply and integrate up-to-date quality management, data analytics, and other performance measurement tools to the work of the Department, and to ensure department efficiency.
Develop and maintain process design documents for all reporting deliverables.
Communicates and works with external and internal staff in meeting contract deliverable requirements.

Quality Improvement Strategies:

Provide written analysis of data, identifying trends, and recommendations for internal and external reporting requirements and quality performance measures.
Develop systems efficiencies that support process improvement and quality outcomes for the department and organizationally, as applicable.
Serve as subject matter expert to programs and departmental staff on applicable health plan, AHCCCS, DCS, DDD, and other applicable state or federal healthcare rules.
Coordinate and provide support to programs for internal and external healthcare audits.
Collaborate with programs/sites in the development, submittal, and monitoring of corrective action plans.
Provide consultation and training to sites, NEO, and as requested.
Ensure adverse events are reported per requirements, working with sites to prevent further recurrence.
Communicates and works with external and internal staff to ensure QI strategies are implemented, measured, and documented.

Medical Records:

Manage the daily operations of medical records, ensuring adherence to state and federal regulations related to PHI and PII.
Maintain current understanding of HIPAA, Privacy, Security, 42 CFR, and other applicable laws.
Continually assesses technology improvements and efficiency strategies.

QUALIFICATIONS:

Education – Bachelor’s level or higher in related healthcare field, data analytics, quality improvement, public health, or related field.
Experience – No less than 4 years of experience working in healthcare, data analytics, and/or quality improvement. At least 1 year in a team lead or supervisory capacity.

REGULATORY:

Minimum 21 years of age.
DPS Level I fingerprint clearance if required (must possess upon hire and maintain throughout employment).
CPR, First Aid, AED certification, if required (must possess upon hire and maintain throughout employment).
Current, valid Arizona Driver’s License and 39-month Motor Vehicle Report and proof of vehicle registration liability insurance to meet insurance requirements, if required.
Initial current negative TB test result, if required (Employer provides).

Questions about this position? Contact us at [email protected].