Quality Services Manager

3 weeks ago


Pittsburgh, Pennsylvania, United States Highmark Health Full time

Job Summary

We are seeking a highly skilled Quality Services Manager to join our team at Highmark Health. As a key member of our quality team, you will play a critical role in achieving successful implementation of our enterprise-wide quality goals and objectives.

Key Responsibilities

  • Develop, review, and revise policies and procedures related to quality improvement.
  • Provide management support for all hospital quality initiatives.
  • Lead quality project planning, strategy, and facilitation to ensure project success.
  • Work with facility and AHN leadership to influence and facilitate progress toward goals.
  • Organize and coordinate multidisciplinary quality improvement activities across the hospital to ensure goals are achieved.
  • Assist the Quality Director in developing the hospital's annual PI plan and goal setting.
  • Support the development and implementation of departmental PI plans.
  • Positively impact and influence care delivery and/or care documentation.
  • Maximize P4V program outcomes, including HCQB and CMS.
  • Manage various pay for value projects, including project planning, strategy, analytics, and identification and implementation of performance improvement opportunities.
  • Support real-time quality programs, such as stroke, CHF, and other core measures.
  • Manage the OPPE process and interact regularly with the Chairman of Medical Staff to drive decision making and facilitate Medical Staff Performance Improvement plans.
  • Assist the Quality Director in coaching and evaluating members of the quality team.

Qualifications

  • Bachelor's degree in Nursing or a related healthcare field, or relevant experience and/or education as determined by the company in lieu of a bachelor's degree.
  • 3-5 years of experience in healthcare administration.
  • Demonstrated ability to coach and lead others in problem-solving and process improvement.
  • Demonstrated results in achieving or exceeding performance standards within the scope of defined policies, procedures, and regulatory standards.
  • Demonstrated ability to work in a matrix organization and successfully drive results.
  • Demonstrated ability to use data to support process improvements.
  • Experience accessing electronic databases and skill in using and creating spreadsheets.

Preferred Qualifications

  • Master's degree in Healthcare Administration, Business, or a health-related field.
  • LSS Green Belt or Lean Certified.
  • Experience in a hospital setting with 4 or more years developing improvement plans, implementing solutions, and leading cross-functional/matrix work teams.


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