Healthcare Quality Management Supervisor

6 days ago

Minneapolis, Minnesota, United States Hennepin County, MN Full time
About the Position

This is a full-time, benefit-earning position within the Hennepin County, MN organization. The successful candidate will serve as a subject matter expert for activities related to HEDIS technical specifications, HEDIS processes, and HEDIS medical record abstraction across the organization.

Key Responsibilities
  • Lead the internal cross-departmental workgroup for HEDIS technical specifications, HEDIS processes, and HEDIS medical record abstraction.
  • Oversee staff, including temporary staff for HEDIS, providing training, mentoring, and coaching based upon observed performance.
  • Develop and share HEDIS and CAHPS reporting with internal and external stakeholders.
  • Collaborate with other stakeholders in the development and implementation of strategies to address HEDIS and CAHPS outcomes.
  • Provide individual network provider performance on relevant HEDIS performance, including provider education, in collaboration with the Network Management department.
  • Identify issues requiring additional investigation or evaluation; validate discrepancies and resolve HEDIS issues in collaboration with MetaStar and Cotiviti.
  • Assist in the budget preparation and development/monitoring of the Quality Management department goals and objectives.
Requirements
  • Eight years or more of experience in general administrative work related to the management of departmental/organizational operations, nursing, clinical management, information systems, or in a specialty area appropriate to the position.
  • Experience performing supervisory functions such as hiring, training, coaching, and mentoring staff.
  • Experience working with regulatory agencies (e.g., Minnesota Department of Health and Minnesota Department of Human Services).
  • Experience using a variety of health and data-related software such as electronic medical record systems and HEDIS databases.
  • Knowledge of data analysis and producing reports with both quantitative and qualitative content.
  • Ability to lead and manage significant workload during HEDIS audit season.
  • Ability to communicate effectively with all levels of management.
  • Ability to work with network providers.
  • Ability to establish workflows, manage multiple projects, and meet necessary deadlines.
About Hennepin County

Hennepin County is the largest county government organization in Minnesota. Our employees work every day to improve the health, safety, and quality of life for our residents and communities. All of our jobs align with our mission to serve residents through transformative services that reduce disparities, eliminate inequities, and create opportunity for all.

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