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Senior Quality Manager, Personal Financial Counselor Contract

3 months ago

United States Magellan Health Full time
Leads the quality and accreditation activities for the PFC program. Serves as a member of the leadership team who manages a large federal contract serving military members and their families. In consultation with assigned business unit leadership, sets goals for improving and maintaining sound operations. Responsible for all aspects of the quality and compliance program including strategic planning, quality management program development and outcomes management, and compliance monitoring of contractual standards and applicable federal/state regulations.
  • Manages multiple aspects of the quality program and accreditation processes to ensure well defined processes and uses performance measurement as the foundation for quality and process improvement.
  • Supervises quality staff to ensure successful execution of projects and initiatives.
  • Develops and manages quality management and assurance plan commensurate with contractual requirements and department goals. The position is responsible for creating and facilitating a quality surveillance plan to ensure performance standards are met or exceeds with the quality management plan. This includes compliance, quality of services, utilization, and customer satisfaction.
  • Manages service level agreement or performance guarantees outcomes tracking and reporting.
  • Develops Quality Improvement Committee structure and provides oversight of committee activities and documentation. Solicits, analyzes, and addresses customer experience feedback through surveys, meetings, and voluntary comments. Ensures that studies and activities are conducted with appropriate feedback from customer organizations, assigned departments, and other stakeholder input.
  • Tracks adverse incidents and Quality of Care concerns. Oversees tracking and resolution of quality concerns.
  • Conducts gap analyses on a routine basis to identify risks. Manages risk management plan including mitigation strategies, interventions, and resolutions. Serves as liaison with department managers to ensure that needs are met for internal and external reporting and the development of decision support tools.
  • Facilitates and/or participates in internal and external audit activities to meet customer requirements, contract standards and goals of the assigned business unit. Audits for quality control.
  • Assists Learning Department in development and presentation of CQI and compliance training programs for staff and customers.
  • All other duties as assigned.

Other Job Requirements

Responsibilities

Bachelor's degree from an accredited university.

7+ years of experience managing operational efficiencies and quality standards (quality control and quality assurance) for projects or programs of a similar complexity and scope.

3+ years of supervisory experience.

3+ working with a military or DoD organization(s) with demonstrated knowledge and experience with U.S. Government regulations, standards of conduct and ethics.

Knowledge of quality improvement processes and performance measurement.

Knowledge of quality improvement standards and accreditation and audit processes.

Demonstrated skills in project management. Strong interpersonal and organizational skills.

Expertise in word processing, data management software, data analysis, reporting word processing, and project management skills.

Knowledge of quality improvement processes and performance measurement.

General Job Information

Title

Senior Quality Manager, Personal Financial Counselor Contract (Remote)

Grade

28

Work Experience - Required

Contract Administration and Management, Military/Government, Operations, Quality, Supervisory

Work Experience - Preferred

Education - Required

Bachelor's

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

LSSGB - Lean Six Sigma Green Belt Certification - Enterprise, LSSWB - Lean Six Sigma White Belt Certification - Enterprise

Salary Range

Salary Minimum:

$83,890

Salary Maximum:

$142,610

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.