Quality Improvement Manager

3 weeks ago


Smithfield, Ohio, United States Neighborhood Health Plan of RI Full time
Job Summary

We are seeking a highly skilled Quality Improvement Manager to join our team at Neighborhood Health Plan of Rhode Island. As a key member of our organization, you will play a critical role in leading our quality improvement efforts and ensuring that we deliver exceptional care to our members.

Key Responsibilities
  • Lead the development and implementation of quality improvement initiatives to optimize HEDIS and Stars performance
  • Collaborate with internal stakeholders to identify and prioritize innovation and improvement opportunities
  • Monitor performance in HEDIS and Stars measures and develop processes to support continuous quality improvement
  • Evaluate the effectiveness of quality improvement initiatives and provide recommendations to internal and external stakeholders
  • Oversee provider engagement and enablement to improve performance in HEDIS, Stars, and other quality programs
  • Provide subject matter expertise in support of quality improvement committees and initiatives
  • Engage in ongoing performance management of staff, including coaching, mentoring, development, training, and succession planning
Requirements
  • Bachelor's degree in Business Administration, Health Care Administration, Public Health, or a related field
  • Five years' experience in a managed care organization or a healthcare-related organization, including experience with Medicaid and/or commercial lines of business
  • Knowledge and experience in data collection, specifications, and key performance drivers of all Stars Measures
  • Two or more years of direct experience facilitating and/or leading quality improvement or business process improvement efforts, preferably related to healthcare
  • Two or more years of experience overseeing teams/management experience
  • Experience with NCQA accreditation survey requirements for health plans with HEDIS specifications and with state and federal healthcare regulations applicable to managed care organizations
Preferred Qualifications
  • Masters degree in Business Administration, Health Care Administration, Public Health, or a related field
  • Demonstrated experience with Medicare Stars
  • National Association of Healthcare Quality certification as a Certified Professional in Healthcare Quality/Organizational Excellence (CPHQ/OE) or similar QI training

Neighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.



  • Smithfield, Ohio, United States Neighborhood Health Plan of RI Full time

    Job SummaryWe are seeking a highly skilled Quality Improvement Manager to join our team at Neighborhood Health Plan of Rhode Island. As a key member of our quality improvement team, you will be responsible for leading the identification and design of company-wide quality improvement efforts and providing direction to the implementation of QI efforts through...

  • Maintenance Manager

    4 weeks ago


    Smithfield, Ohio, United States Jobot Full time

    Job OverviewWe are seeking an experienced Maintenance Manager to join our team at a global leader in air filtration solutions. This is a permanent position with a competitive compensation package and relocation assistance.Key ResponsibilitiesOversee and manage all aspects of our maintenance operations, including preventive maintenance, equipment maintenance,...


  • Smithfield, Ohio, United States UNC Health Full time

    Job SummaryWe are seeking a highly skilled RN Utilization Manager to join our team at UNC Health. As a key member of our Care Management department, you will play a critical role in ensuring the highest quality patient care and optimal resource utilization.Key ResponsibilitiesConduct thorough clinical reviews to ensure appropriateness of patient care and...

  • Maintenance Manager

    3 weeks ago


    Smithfield, Ohio, United States Jobot Full time

    Job SummaryWe are seeking an experienced Maintenance Manager to join our dynamic team. As a key member of our operations team, you will be responsible for overseeing and managing all aspects of our maintenance operations, including preventive maintenance, equipment maintenance, and facility management.Key ResponsibilitiesDevelop and implement maintenance...


  • Smithfield, Ohio, United States Smithfield Foods Full time

    Job SummaryWe are seeking a highly skilled Senior Strategic Sourcing Manager to lead the development and implementation of progressive sourcing strategies for packaging materials. This role will be responsible for identifying and screening suppliers, developing strategic relationships, negotiating terms and conditions, and driving improved supplier service...


  • Smithfield, Ohio, United States Smithfield Foods Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Strategic Sourcing Manager to lead the development and implementation of progressive sourcing strategies for packaging materials. The successful candidate will be responsible for identifying and screening suppliers, developing strategic relationships, negotiating terms and conditions, and...


  • Smithfield, Ohio, United States UNC Health Full time

    Job Summary:Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.Key Responsibilities:Collaborate with the patient/family, and interdisciplinary team (including physicians, other care providers, and payors), to assess the patient care progression from...

  • Nurse Case Manager

    2 weeks ago


    Smithfield, Ohio, United States Liberty Health Full time

    Job Summary:Liberty Health is seeking a skilled Registered Nurse to fill the role of Case Manager. This position will be responsible for providing high-quality care to assigned patients, conducting assessments, and collaborating with healthcare teams to ensure effective care coordination.Key Responsibilities:Conduct thorough assessments of patients to...


  • Smithfield, Ohio, United States Domino's Pizza LLC Full time

    Job DescriptionAs a General Manager at Domino's Pizza LLC, you will be responsible for overseeing the daily operations of assigned stores. Your primary goal is to ensure that all stores meet or exceed minimum standards for food quality, labor efficiency, and customer service.Key Responsibilities:Manage store budgets and maintain accurate financial...

  • Office Manager

    3 weeks ago


    Smithfield, Ohio, United States Ace Handyman Services Full time

    Job Title: Office ManagerWe are seeking a highly organized and detail-oriented Office Manager to join our team at Ace Handyman Services. As an Office Manager, you will be responsible for providing exceptional customer service, managing daily operations, and ensuring a smooth customer journey.Key Responsibilities:Respond to job leads in a timely...


  • Smithfield, Ohio, United States Smithfield's Chicken 'N Bar-B-Q Full time

    General Manager Opportunity at Smithfield's Chicken 'N Bar-B-QSmithfield's Chicken 'N Bar-B-Q is seeking a seasoned restaurant leader to join our team as a General Manager. As a key member of our management team, you will be responsible for driving sales growth, improving customer satisfaction, and maintaining a positive work environment.Key...

  • EHS Manager

    3 weeks ago


    Smithfield, Ohio, United States Aegis Worldwide Full time

    Job Title: Bilingual EHS ManagerAegis Worldwide is seeking a highly skilled and experienced Bilingual EHS Manager to join our team. As a key member of our organization, you will play a critical role in establishing and maintaining a safe, healthy, and environmentally responsible workplace for our employees and communities.Key Responsibilities:Regulatory...


  • Smithfield, Ohio, United States Domino's Pizza LLC Full time

    Job Summary:As a Store Manager at Domino's Pizza LLC, you will be responsible for overseeing the daily operations of our stores, ensuring that all aspects of the business are running smoothly and efficiently. Your primary goal will be to maintain high-quality standards, drive sales growth, and provide exceptional customer service.Key Responsibilities: Manage...


  • Smithfield, Ohio, United States Fairfield Inn & Suites - Smithfield Full time

    Job OverviewOur hotel is seeking a skilled hospitality professional to oversee daily operations and ensure exceptional guest experiences. As a shift manager, you will be responsible for managing staff, handling guest concerns, and maintaining a safe and efficient work environment.Key ResponsibilitiesLead and motivate hotel staff to deliver outstanding...

  • Office Manager

    2 weeks ago


    Smithfield, Ohio, United States Ace Handyman Services Full time

    Job SummaryWe are seeking an experienced Office Manager to join our team at Ace Handyman Services. As an Office Manager, you will be responsible for providing exceptional customer service, managing daily operations, and ensuring a smooth customer journey.Key ResponsibilitiesRespond to job leads in a timely mannerCoordinate schedules and material ordering for...


  • Smithfield, Ohio, United States Domino's Pizza LLC Full time

    Job DescriptionAs a General Manager at Domino's Pizza LLC, you will be responsible for overseeing the daily operations of our stores, ensuring that all aspects of the business are running smoothly and efficiently.Key Responsibilities:Manage store staff, including hiring, training, and performance evaluationsOversee store finances, including budgeting and...

  • Assistant Manager

    1 month ago


    Smithfield, Ohio, United States Domino's Franchise Full time

    Job DescriptionThe primary responsibility of an Assistant Manager at Domino's Pizza is to provide support to the General Manager in maintaining the smooth operation of the restaurant.Key responsibilities include preparing pizzas, delivering orders to designated locations, and performing administrative tasks when the General Manager is unavailable.Assistant...

  • Assistant Manager

    1 month ago


    Smithfield, Ohio, United States Domino's Franchise Full time

    Job DescriptionThe primary responsibility of Assistant Managers at Domino's Pizza is to provide managerial support to the store's General Manager in implementing and enforcing operating standards and policies.Assistant Managers are also responsible for preparing pizzas and delivering them to designated locations where orders have been placed.They must also...


  • Smithfield, Ohio, United States Advance Electrical Corp. Full time

    About the JobAdvance Electrical Corp. is a reputable electrical construction firm with over 40 years of experience in commercial electrical contracting services. We pride ourselves on delivering high-quality workmanship, exceptional customer service, and value. Our team is built on strong core values, which are essential to our company's success.Job...


  • Smithfield, Ohio, United States WakeMed Full time

    WakeMed Health & Hospitals is seeking a highly skilled and experienced professional to lead the Core Laboratory Pathology team. As the successful candidate, you will be responsible for the strategic direction and operational management of this critical area of the laboratory. Your expertise will be instrumental in driving excellence in patient care, quality,...