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Quality & Accreditation Program Manager

4 months ago

Virginia Beach, United States Sentara Healthcare Full time
City/State
Virginia Beach, VA

Overview

Work Shift
First (Days) (United States of America)

Sentara Health is now seeking a Quality & Accreditation Program Manager

This is a full-time position - Monday-Friday, Daytime

This position has the potential to be Hybrid.

The VBC Quality Program Manager provides Project Management (PM) planning, coordination, documentation and implementation of simple to complex Quality Improvement (QI) projects. Responsible for supporting primary care practices in activities to include population health and quality efforts associated with or required by the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), the Department of Medical Assistance Services (DMAS), the Centers for Medicare and Medicaid Services (CMS) and as outline in our VBC contracts to meet quality metrics. Analyzes projects to determine scope, cost, resource needs and scheduling requirements. Creates, maintains and refines detailed project plans, including work breakdown structures, and tracks project schedules. Identifies, develops and implements cross-functional, cross-departmental work processes across various departments or the overall division to improve clinical outcomes. Performs root cause analysis and coordinates activities to enhance the clinical outcomes of the population. Identifies internal deficiencies or obstacles with data, systems and processes, and implements enhancements interventions for the area. Leads process mapping, research and analysis for QI initiatives.

Qualifications:
  • Bachelor's degree required.
  • Minimum of two (2) years of experience supporting and coordinating operational and/or quality improvement projects also required.
  • Knowledge of HEDIS and STARS required.
  • Knowledge of medical terminology required.
  • Project Management or Yellow Belt Certification preferred.


Benefits:

Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve

Keywords: Quality Care, Analytics, Project Management, Yellow Belt, HEDIS, STARS, Monster, Talroo-Allied Health, #Indeed

Job Summary

The Program Manager provides Project Management (PM) planning, coordination, documentation, and implementation of simple to complex Quality Improvement (QI) projects. Responsible for quality and/or population health related activities to include accreditation, regulatory, or value-based care efforts associated with or required by the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), the Department of Medical Assistance Services (DMAS), the Centers for Medicare and Medicaid Services (CMS) and other State and/or Federal Government entities. Analyzes projects to determine scope, cost, resource needs and scheduling requirements. Creates, maintains and refines detailed project plans, including work breakdown structures, and tracks project schedules. Identifies, develops and implements cross-functional, cross-departmental work processes across various departments or the overall division to improve clinical outcomes. Performs root cause analysis and coordinates activities to enhance the clinical outcomes of the population. Identifies internal deficiencies or obstacles with data, systems and processes, and implements enhancements interventions for the area. Leads process mapping, research, and analysis for QI initiatives.

Knowledge of NCQA, HEDIS, CAHPS, or STARs required.
Knowledge of medical terminology, CPT, ICD-10 coding preferred.
Project Management Certification, Scrum Master Certification, or Yellow Belt Certification preferred.

Qualifications:

BLD - Bachelor's Level Degree (Required)

Lean Six Sigma Yellow Belt - Certification - Six Sigma Global Institute (SSGI), Project Management Professional Certification (PMP) - Certification - Project Management Institute (PMI), Scrum Master - Certification - Scaled Agile Framework (SAFe)

Managed Care, Project Management, Quality Improvement

Skills

Communication, Coordination, Critical Thinking, Microsoft Office, Microsoft Project, Project Management

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission "to improve health every day," this is a tobacco-free environment.