Director of Quality

2 days ago

VT United States Arkos Health Full time

Our Organization:

Welcome to Arkos Health We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Backed by a robust technology platform, innovative software, and a light human touch, Arkos Health is committed to delivering advanced and accessible community-based services allowing our clients to live healthier, more independent lives. How do we do this? Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve.

How You'll Make a Difference:

Arkos Health is seeking a Director of Quality . The Director of Quality provides oversight and direction to the STARS/HEDIS staff. They will be tasked with managing and holding staff accountable to department goals, initiatives, and outreach activities. The Director of Quality will be able to collect, report, and respond to metrics and to contribute to the organization's drive to improve the overall experience of patient care, including the quality of health, and work to reduce the cost of care across the population served.

Essential Duties and Responsibilities:

  • Review and provide performance feedback to the department Staff, including annual performance reviews, and implement improvement plans.
  • Establish individual and department weekly, monthly, and annual goals that support a minimum 4 STAR rating for Medicare, and 66th percentile on HEDIS measures for Medicaid.
  • Direct, supervise, and prioritize day-to-day functions of the department, ensuring gaps in care are captured and validated.
  • Provide updated education regarding quality initiatives to staff and external stakeholders.
  • Attend educational and demonstration activities to remain the subject matter of the department.
  • Evaluate data collected to develop strategies to improve overall performance.
  • Maintain inventory of the department point-of-care testing supplies.
  • Monitor data entry and maintain appropriate documentation and tracking for quality initiatives.
  • Demonstrate the ability to work collaboratively, efficiently, and effectively with internal and external stakeholders. Collaborate with other internal department leaders to establish processes that support efficiency and overall goals.
  • Follow procedures, practices, policies, and guidelines to ensure the safety, security, and well-being of patients.
  • Create, maintain, and improve policies and procedures for efficient department workflow.
  • Assist in investigation and resolution of data collection for all lines of business.
  • Perform other duties as assigned to support the overall effectiveness of the organization.

Qualifications and Skills:

  • Medical Assistant Certification and/or Certified Nurse Assistant Certification required.
  • 3+ years of management experience, with at least 1 of those years in healthcare.
  • 5+ years of experience in a healthcare environment.
  • Recent and related experience working with HEDIS STARS Program.
  • Experience with Microsoft Word, Excel, and PowerPoint.
  • Experience in Electronic Health Records.
  • Experience with verifying eligibility and navigating through Insurance Portals.
  • Experience with CPT II codes.
  • Knowledge of HCC’s and Medical Diagnosis.

Benefits:

  • Employer-paid Medical premiums at no cost to you.
  • Employer-paid Dental premiums at no cost to you.
  • Employer-paid Vision premiums at no cost to you.
  • Employer-paid Short-Term Disability premiums at no cost to you.
  • Employer-paid Life Insurance premiums at no cost to you.
  • Employer matching 401(k).
  • 15 days annual combined sick/vacation and 9 days of holiday during your first year.
  • Your Birthday off

Must complete our Culture Index Survey. Take the assessment at . This is not a pass/fail test and does not measure intelligence.

Arkos Health EEO Statement:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Arkos Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.

Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at Careers - Arkos Health .

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