Clinical Quality Management Director

1 week ago


Yakima, Washington, United States Cambia Health Solutions Full time
About the Role

Cambia Health Solutions is seeking a highly skilled Clinical Quality Management Director to join our team. As a key member of our organization, you will be responsible for developing and overseeing an effective clinical quality management/assurance program, including quality management strategies, policies, monitoring, and reporting.

Key Responsibilities
  • Develop and implement quality management strategies to ensure compliance with regulatory requirements and internal standards.
  • Monitor and analyze performance data to identify areas for improvement and develop corrective action plans.
  • Collaborate with stakeholders to identify and mitigate risks, error-proof systems, and uphold compliance standards.
  • Develop and maintain policies and procedures related to quality management functions.
  • Champion a culture of ethics, integrity, and compliance throughout the organization.
Requirements
  • Bachelor's degree in a related field (e.g., healthcare administration, healthcare policy, nursing, pharmacy, industrial engineering) or equivalent experience.
  • 5+ years of experience in quality management, internal audit/compliance, or process consulting in a highly regulated industry (e.g., healthcare, finance, power).
  • 3+ years of experience working in managed care health insurance industry. Utilization management experience required.
  • Training or certification in quality improvement (e.g., CQM, CQA, Lean Six Sigma, ISO).
  • Knowledge base of clinical standards of care, medical policy, coding, NCQA, CMS, and other relevant state regulatory agency requirements.
Preferred Qualifications
  • Masters degree in a related field.
  • Proven leadership skills with ability to motivate teams and facilitate large-scale change.
  • Excellent analytical skills with the ability to assess complex business processes and data sets.
  • Strong program management skills with demonstrated ability to focus activities aligned with strategic priorities and to develop tactical plans, drive performance, and achieve targets.
About Cambia Health Solutions

Cambia Health Solutions is a purpose-driven organization built on trust and innovation. We are committed to creating a person-focused and economically sustainable healthcare system. Our team is dedicated to helping members live healthy lives, and we offer a competitive salary and benefits package, as well as opportunities for growth and development.



  • Yakima, Washington, United States Cambia Health Solutions Full time

    Job Title: Clinical Quality Management DirectorCambia Health Solutions is seeking a highly skilled Clinical Quality Management Director to lead our clinical quality management programs. As a key member of our team, you will be responsible for developing and implementing effective quality management strategies, policies, and procedures to ensure compliance...

  • Cath Lab Director

    2 weeks ago


    Yakima, Washington, United States Clinical Management Consultants Full time

    Job SummaryClinical Management Consultants is seeking a highly experienced and skilled Cath Lab Manager to lead our Cardiac Services department. As a key member of our team, you will be responsible for overseeing the daily operations of our Catheterization Laboratory, ensuring it is properly staffed, equipped, and adhering to safety and quality protocols.Key...

  • Clinical Director

    18 hours ago


    Yakima, Washington, United States Nexus HR Services Full time

    {"title": "Clinical Director", "content": "Job SummaryNexus HR Services is seeking a highly skilled Clinical Director to lead our occupational therapy program. As a key member of our team, you will be responsible for the overall operation of the clinic, ensuring the delivery of high-quality patient care through physical therapy, occupational therapy, and...


  • Yakima, Washington, United States Nexus HR Services Full time

    Job OverviewPosition: Director of Clinical OperationsCompensation: $90,000 - $120,000 annuallySummary: Nexus HR Services is seeking a dedicated Clinical Director with a background in Occupational Therapy to oversee a clinic that provides tailored healthcare services to meet the unique needs of the communities served. Leveraging extensive experience as a...


  • Yakima, Washington, United States Nexus HR Services Full time

    Job OverviewPosition: Clinic DirectorCompensation: $90,000 - $120,000 annuallyAbout Nexus HR Services:Nexus HR Services is seeking a dedicated Clinic Director with a background in Occupational Therapy to oversee a healthcare facility that tailors its services to meet the unique needs of the communities it serves. Leveraging extensive experience as a national...


  • Yakima, Washington, United States Nexus HR Services Full time

    Job OverviewPosition: Clinical DirectorCompensation: $90,000 - $120,000 annuallyAbout Nexus HR Services:Nexus HR Services is seeking a Clinical Director with a background in Occupational Therapy to lead a clinic dedicated to providing tailored healthcare solutions to the communities we serve. Our approach leverages extensive experience as a national...

  • Lead Clinical Manager

    4 weeks ago


    Yakima, Washington, United States Nexus HR Services Full time

    Job OverviewPosition: Director of Clinical OperationsCompensation: Competitive salary based on experienceAbout Nexus HR Services:Nexus HR Services is seeking a dedicated Clinical Director with a background in Occupational Therapy to oversee a healthcare facility that tailors its services to meet the unique needs of the communities it serves. Leveraging...


  • Yakima, Washington, United States Clinical Management Consultants Full time

    Acute Care Occupational Therapist OpportunityClinical Management Consultants is seeking a skilled and dedicated Occupational Therapist to join our dynamic healthcare team at a leading medical center in Southeastern Washington.Key Responsibilities:Deliver occupational therapy modalities to a diverse patient populationDevelop and implement patient care plans...


  • Yakima, Washington, United States Clinical Management Consultants Full time

    Acute Care Occupational Therapist OpportunityClinical Management Consultants is seeking a skilled and dedicated Occupational Therapist to join our dynamic healthcare team at a leading medical center in Southeastern Washington. With over 70 years of serving the community, this exceptional hospital offers a collaborative and supportive work environment,...


  • Yakima, Washington, United States Clinical Management Consultants Full time

    **About the Role**Clinical Management Consultants is seeking a skilled and dedicated Occupational Therapist to join our dynamic healthcare team at a leading medical center in Southeastern Washington. As a key member of our multidisciplinary team, you will play a crucial role in delivering exceptional patient care and contributing to a collaborative and...


  • Yakima, Washington, United States Clinical Management Consultants Full time

    Acute Care Occupational Therapist OpportunityClinical Management Consultants is seeking a skilled and dedicated Occupational Therapist to join our dynamic healthcare team at a leading medical center in Southeastern Washington.Key Responsibilities:Deliver occupational therapy modalities to a diverse patient populationDevelop and implement patient care plans...

  • Medical Director

    3 weeks ago


    Yakima, Washington, United States Cambia Health Solutions Full time

    About the RoleCambia Health Solutions is seeking a highly skilled Medical Director or Associate Medical Director to lead our Behavioral Health and Utilization Management team. As a key member of our organization, you will be responsible for providing clinical leadership and oversight for behavioral health operations across all lines of business.Key...


  • Yakima, Washington, United States Pacific Northwest University of Health Sciences Full time

    Job SummaryWe are seeking a highly qualified and experienced individual to fill the role of Assistant Director of Clinical Education for our School of Physical Therapy. This position will support the Director of Clinical Education in the overall planning and administration of the clinical education program.Key ResponsibilitiesAssist in acquiring clinical...

  • Medical Director

    2 weeks ago


    Yakima, Washington, United States Cambia Health Solutions Full time

    About the RoleCambia Health Solutions is seeking a highly skilled Medical Director to lead our Behavioral Health team. As a key member of our Utilization Management team, you will be responsible for providing clinical oversight and leadership for behavioral health operations across all lines of business.Key ResponsibilitiesDevelop and implement behavioral...


  • Yakima, Washington, United States Community Health of Central Washington Full time

    Medical Director Physician OpportunityWe are seeking a highly skilled Medical Director Physician to join our team at Community Health of Central Washington.Key Responsibilities:Lead and manage a team of physicians and advanced practice providers.Develop and implement clinical strategies to improve patient outcomes.Collaborate with other healthcare...


  • Yakima, Washington, United States MedCadre Full time

    Job Title: Clinical Administrative SupervisorLocation: Valley Medical Center, Renton, WAShift: NightsHOURS OF WORK: VariableDuration: 16 WeeksGuaranteed Hours: 36 hours per weekJob Overview:The Clinical Administrative Supervisor plays a crucial role in overseeing the delivery of quality patient care across the hospital. This position is responsible for...


  • Yakima, Washington, United States MedChi, The Maryland State Medical Society Full time

    Job SummaryPediatrix Medical Group is seeking a Medical Director to lead our neonatology practice in Washington State. As a key member of our team, you will be responsible for providing clinical leadership and direction to our neonatology team, ensuring the highest quality patient care and outcomes.ResponsibilitiesProvide clinical leadership and direction to...


  • Yakima, Washington, United States MedCadre Full time

    Job SummaryMedCadre is seeking a highly skilled Clinical Administrative Supervisor to join our team at Valley Medical Center. As a key member of the Patient Care Services Administration team, this role is essential for overseeing the delivery of quality patient care across the hospital, ensuring efficient use of resources, and providing leadership and...


  • Yakima, Washington, United States SourceMD Full time

    Join SourceMD as a Medical Director PhysicianWe are seeking a highly skilled Medical Director Physician to lead our team at SourceMD in Yakima, Washington.About the Role:Lead a team of healthcare professionals in providing exceptional patient care.Develop and implement clinical strategies to improve patient outcomes.Collaborate with cross-functional teams to...


  • Yakima, Washington, United States Quality Talent Group Full time

    About the JobWe are seeking a highly skilled and motivated Personal Banker to join our team at Quality Talent Group. As a Personal Banker, you will play a critical role in delivering exceptional customer experiences and building strong relationships with our clients.Key ResponsibilitiesCustomer Service: Provide proactive outreach and propose appropriate...