Quality Care Director

2 weeks ago

Montgomery, United States LOGZONE, Inc. Full time
Job DescriptionJob DescriptionSalary:

LOGZONE is a premier Small Disadvantaged Business (SDB), and a Veterans Administration-Certified Service-Disabled Veteran-Owned (SDVOSB) firm. Since 2007, LOGZONE has provided services in Logistics and Materiel Management, Facilities Operations and Maintenance, Integrated Logistics Support and Planning, and Medical Support. We strive to provide quality support services throughout the project life cycle. Our ability to remain a responsive resource to our customers and partner companies has allowed us to earn their trust and build positive relationships through performance. We are looking for qualified candidates with the same vision to succeed

 

Job Duties:

  • Oversee the development of the Quality Improvement Plan;
  • Work with practices and community providers in the implementation of the Quality Improvement Program;
  • Ensure the PCCM-e completes the required QIP and meets required benchmarks;
  • Review and report data to the Medical Director, and conveys information related to Quality Measures, QIPs, and any Agency directed quality initiatives adopted by the Agency to the PCCM-e;
  • Support the care coordination activities of those in the Region that are at the highest risk and cost along with other areas of focus as chosen by the PCCM-e; and
  • Ensure quality of services are provided in accordance with state and federal regulations.

Education and Experience:

  • Bachelor’s degree in public health, public administration or healthcare quality and safety, master’s degree preferred.
  • Certified Professional in Healthcare Quality (CPHQ) or equivalent experience related to healthcare quality
  • Clinical background preferred
  • Prior experience, at least one year, working with the Medicaid population.
  • Familiarity with Healthcare Effectiveness Data and Information Set (HEDIS), CAPHS, and other standardized quality measures/assessments
  • Proficiency in quantitative data analysis.
  • At least 3 years’ experience related to population health management, including interpretation and presentation of data; identifying opportunities for improvement, and developing strategic plans to address quality deficits.

Population Health Management strategies – Oversees the PCCM-e quality Improvement Plan by:

  1. Systematic data analysis to target Medicaid recipients and providers for outreach, education, and intervention to improve health outcomes.
  2. Monitoring system access to care, services, and treatment including linkage to a Medical Home.
  3. Monitoring quality and effectiveness of interventions to the population
  4. Facilitating quality improvement activities that educate, support, and monitor Providers regarding evidence-based care for best practice.
  5. Implementing clinical management initiatives identified as priorities by the Agency and the PCCM-e.
  • Must live in one of the following counties: Bibb, Colbert, Fayette, Franklin, Greene, Hale, Lamar, Lauderdale, Lawrence, Marion, Pickens, Sumter, Tuscaloosa, Walker or Winston.
  • Has not worked for and/or been employed by the Alabama Medicaid Agency within the past two years

 

LOGZONE is an equal opportunity employer. We encourage diversity in our workforce. LOGZONE provides equal employment opportunities to all applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws, or any other factor protected by law. If you require a reasonable accommodation to apply for a position with LOGZONE through our online applicant system, please email careers@logzoneinc.com for assistance. Minorities, females, disabled and protected veterans are urged to apply. LOGZONE is a VEVRAA Federal Contractor.

 


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