Current jobs related to Director of Quality Health Integration - Brookfield - Network Health

  • Plant Operations Director

    1 week ago

    Brookfield, Missouri, United States Pershing Health System Full time

    {"title": "Director of Plant Operations", "subtitle": "Lead Plant Operations and Maintenance Functions", "content": "The Director of Plant Operations will oversee the strategic direction and implementation of plant operations and maintenance functions for Pershing Health System. This includes developing and implementing operations and maintenance strategies,...

  • Executive Director of Quality and Technology Operations

    1 week ago

    Brookfield, Wisconsin, United States Silgan Containers Full time

    About the RoleWe are seeking a highly experienced and skilled Executive Director of Quality and Technology Operations to join our team at Silgan Containers. As a key member of our executive team, you will be responsible for shaping and driving the strategic direction and operational efficiency of our company, ensuring the highest level of customer technical...

  • Director of Operations

    3 months ago

    Brookfield, United States Delgado Stone Full time

    Job DescriptionJob DescriptionDirector of Operations- Full Time- BrookfieldDelgado Stone Distributors is a dynamic and innovative manufacturer of Natural Stone delivering high-quality products, and customer service to our Authorized Dealers. As a leading figure in the building materials sector and a proud member of Inc. 5000. We strive to cultivate a...

  • Medical Director, Wisconsin

    2 weeks ago

    Brookfield, Wisconsin, United States Compass Health Center Full time

    Job SummaryWe are seeking an experienced Medical Director to join our team at Compass Health Center. As a key member of our leadership team, you will be responsible for overseeing the medical management and implementation of high-quality care across our programs.Key ResponsibilitiesMedical Leadership: Provide medical direction and oversight to our team of...

  • Director, Plant Operations

    2 weeks ago

    Brookfield, United States Pershing Health System Full time

    The Director of Plant Operations will direct and lead plant operations and maintenance functions for PHS in determining operations and maintenance strategies, work plans, budgets, and staffing to implement initiatives and effectively manage operational performance. The Director will also organize all housekeeping/laundry staff with assigned duties, ensuring...

  • Operations Director

    1 week ago

    Brookfield, Wisconsin, United States Archdiocese of Chicago Full time

    Operations Director Job DescriptionThe Operations Director plays a critical role in the success of the Archdiocese of Chicago, serving as a professional administrator and strategic leader at one or more Parishes. This position requires a strong understanding of financial management, human resources, and building management.Key Responsibilities:Financial...

  • Chiropractic Associate Director

    2 days ago

    Brookfield, Wisconsin, United States Medulla Full time

    Unlock Your Potential as a Chiropractic Associate DirectorAt Medulla, we're committed to empowering our doctors to succeed without the burden of investment or franchise fees. Our Resident-In-Training Program is a comprehensive learning experience that goes beyond clinical knowledge, equipping you with leadership development and business essentials to thrive...

  • Clinical Services Director

    1 week ago

    Brookfield, Wisconsin, United States Rogers Behavioral Health Full time

    About the RoleRogers Behavioral Health is seeking a highly experienced and ambitious Clinical Services Director to lead the start-up and growth of our new behavioral health clinic. As a key member of our leadership team, you will be responsible for overseeing the day-to-day operations of the clinic, ensuring smooth functionality, and fostering strong...

  • Assistant Director of Operations

    3 weeks ago

    Brookfield, Wisconsin, United States Azura Memory Care Full time

    Job SummaryAzura Memory Care is seeking a highly skilled and experienced Executive Director to oversee our community in Brookfield, Wisconsin.Key ResponsibilitiesManage budgets and forecasts with confidence and expertise, ensuring the financial stability and growth of the community.Promote the highest well-being for our residents with Alzheimer's disease and...

  • Pipeline Integrity Specialist

    1 day ago

    Brookfield, Wisconsin, United States Acuren Inspection, Inc. Full time

    Job SummaryWe are seeking a highly skilled Pipeline Integrity Specialist to join our team at Acuren Inspection, Inc. The successful candidate will be responsible for performing nondestructive testing and inspections to ensure the integrity of pipelines.Key ResponsibilitiesSet up and operate nondestructive testing equipment, including mag yokes, UT thickness...

  • Systems Integration Engineer

    4 weeks ago

    North Brookfield, Massachusetts, United States Vibram Corporation Full time

    Job OverviewPOSITION SUMMARYWe are in search of a dynamic Systems Integration Engineer who will leverage technical proficiency and leadership in process engineering, electrical engineering, and systems maintenance to enhance rubber manufacturing processes and ensure operational excellence. This position demands a unique combination of technical capabilities...

  • Marketing Director

    4 days ago

    Brookfield, Wisconsin, United States RF Technologies Full time

    Marketing Director Job DescriptionWe are seeking a seasoned Marketing Director to join our team at RF Technologies. As a key member of our leadership team, you will be responsible for developing and executing marketing strategies that drive business growth and customer engagement.Key Responsibilities:Develop and implement marketing plans that align with our...

  • Systems Integration Engineer

    4 weeks ago

    North Brookfield, Massachusetts, United States Vibram Corporation Full time

    Job OverviewPOSITION SUMMARYWe are in search of a dynamic Systems Integration Engineer who will leverage their technical acumen and leadership skills in process engineering, electrical engineering, and systems maintenance to enhance rubber manufacturing processes and drive operational excellence. This position demands a unique combination of technical...

  • Systems Integration Engineer

    4 weeks ago

    North Brookfield, Massachusetts, United States Vibram Corporation Full time

    Job OverviewPOSITION SUMMARYWe are looking for a dynamic Systems Integration Engineer who will leverage their technical expertise and leadership in process engineering, electrical engineering, and systems maintenance to enhance rubber manufacturing operations and drive operational excellence. This position demands a unique combination of technical acumen in...

  • Chiropractic Associate Director

    1 week ago

    Brookfield, Wisconsin, United States Medulla Full time

    Unlock Your Potential as a Chiropractic Associate DirectorAt Medulla, we're committed to providing exceptional care and opportunities for growth. As a Chiropractic Associate Director, you'll be part of a dynamic team that's dedicated to delivering outstanding patient outcomes.About the RoleWe're seeking a highly motivated and skilled Chiropractic Associate...

  • Chiropractic Associate Director

    1 week ago

    Brookfield, Wisconsin, United States Medulla Full time

    Unlock Your Potential as a Chiropractic Associate DirectorAt Medulla, we're committed to helping our doctors succeed without the burden of investment or franchise fees. Our Resident-In-Training Program is a comprehensive learning experience that goes beyond clinical knowledge, equipping you with leadership development and business essentials to thrive in...

  • Director of Accounting Operations

    1 day ago

    Brookfield, Wisconsin, United States Jobot Full time

    Job SummaryWe are seeking a highly skilled and experienced Director of Outsourced Accounting Services to lead our accounting practice and drive growth initiatives. The successful candidate will oversee the daily operations of our accounting team, develop and implement strategies to expand our services to for-profit clients, and lead a team of accounting...

  • Marketing Director

    3 weeks ago

    Brookfield, Wisconsin, United States RF TECHNOLOGIES INC Full time

    Job DescriptionJob Title: Marketing DirectorLocation: Brookfield, WIAbout the CompanyRF Technologies Inc. is a leading provider of life-safety solutions, dedicated to safeguarding children, empowering elders, and protecting communities. Our mission is to deliver innovative solutions that meet the evolving needs of our customers. We value collaboration,...

  • Director of Rehabilitation Services

    17 hours ago

    Brookfield, Wisconsin, United States Enhance Rehabilitation Full time

    Director of Rehab Job DescriptionEnhance Rehabilitation is seeking a highly skilled and experienced Director of Rehab to lead our rehabilitation services team. As a key member of our management team, you will be responsible for overseeing the delivery of high-quality rehabilitation services in one or more of our service locations.Key Responsibilities:Manage...

  • Programming & Recreation Director

    2 months ago

    Brookfield, United States Benchmark Senior Living Full time

    Joining the Benchmark Senior Living team means putting your passion to work. Our associates feel a sense of belonging with the care that they provide, empowered by the open and reliable team that surrounds them. Our diverse and skilled workforce takes immense pride in a shared commitment: a devotion to providing caring and dedicated service. In our...

Director of Quality Health Integration

3 months ago

Brookfield, United States Network Health Full time
Description

Network Health's success is rooted in its mission to create healthy and strong Wisconsin communities. It drives the decisions we make, including the people we choose to join our growing team. Network Health is seeking a Director of Quality Health Integration.

This individual is responsible for Responsible for maintaining clinical quality standards compliant with NCQA and other regulatory agencies. Responsibilities include ongoing improvement initiatives necessary for regulatory and accreditation compliance and working toward the improvement of member health status. Responsible for the establishment, maintenance, and coordination of condition management and appeals and grievance programs in compliance with NCQA quality standards, CMS Stars and other regulatory agencies. Works in conjunction with Vice President Quality and Clinical Integration, CMO, and other leadership for improvements and to implement changes that will have a positive impact on service to internal and external customers.

Job Responsibilities:

  • Oversees the complaints, appeals and grievance program for Network Health, including policies, procedures, processes, and reporting to analyze, evaluate, and improve the quality and efficiency of processes and outcomes.
  • Works collaboratively with Network Health departments and committees to develop criteria, service and quality indicators, tracking mechanisms, reports, standards of care that facilitate Quality Improvement initiatives, and outcomes. Maintains ongoing communication with Network Health departments for the purpose of integrating, coordinating and monitoring the effectiveness of Quality Improvement activities for Commercial and Government products.
  • Supervises the identification of quality improvement needs and design of valid and reliable tools for data collection, analyzes data, and provides feedback in an appropriate format. May assist with implementation of quality initiatives. Monitors outcomes and quality of services provided. Uses statistical methods in data collection, sampling and analysis.
  • Collaborates with Network Health departments to execute against various Quality Improvement initiatives as required for NCQA, CMS and other regulatory bodies.
  • Supervises in the development of communication to practitioners and members, and the coordination of those communications.
  • Collaborate with Government Program, Risk Adjustment, and other departments to design shared initiatives around member and provider incentives, retention, satisfaction, interoperability, and gap closure programs.
  • Collaborates with the VP of Quality and Clinical Integration on preparing, and monitoring budget for the areas of responsibility.
  • Responsible for oversight of all regulatory required committees related to quality. Presents and/or participates on Network Health committees including QMC, executive council, and others as assigned.
  • Works in conjunction with the VP of Quality and Clinical Integration and other QHI leaders for performance in: NCQA ratings, accreditation surveys; CMS Star Ratings and QRS Ratings; OCI, Peer Review and Quality of Care programs and other government regulatory agency standards relating to quality.
  • Oversee condition management programs to manage Network Health low and medium risk members who may benefit from self-management and coaching and use data to perform outreach with goal of increasing members' abilities to manage their chronic and acute health conditions and decrease unnecessary utilization and quality gap closure.
  • Assists Network Health Management in designing goals, action plans, and strategies to support the Quality Improvement processes.
  • Reviews and manages contracts for HEDIS, CAHPS, HOS and MRA vendors as well as other vendors as assigned.
  • Performs other duties as assigned.

Job Requirements:

  • Bachelor of Science in Nursing or other related health care field required.
  • 3 years of experience in quality program process and development required.
  • 7 years working in the health care industry.
  • 3 years of related leadership experience required.
  • Deep experience with HEDIS, CMS Stars, and NCQA accreditation required.

Network Health is an Equal Opportunity Employer. We encourage applications from all backgrounds, communities and industries, and are committed to having a team that is made up of diverse skills, experiences and abilities. We are committed to equality and diversity within Network Health.