Managed Care Quality Assurance Manager
2 weeks ago
Position Overview:
Join a dedicated team focused on enhancing the quality of life for individuals and families. The Arizona Department of Economic Security (DES) is committed to fostering community well-being and teamwork. We are currently seeking a qualified candidate for the role of Managed Care Program Administrator - QI/PI Manager within the Division of Developmental Disabilities (DDD).
Key Responsibilities:
- Oversee and manage performance improvement initiatives, ensuring compliance with established standards and regulations.
- Lead the evaluation of subcontractor performance and implement strategies to meet Minimum Performance Standards (MPS).
- Facilitate the development and execution of Performance Improvement Projects (PIPs) that address both clinical and non-clinical care across various populations.
- Coordinate quality enhancement initiatives by analyzing data, identifying intervention opportunities, and monitoring the implementation of improvement plans.
- Provide mentorship and guidance to team members, ensuring adherence to organizational policies and fostering a collaborative work environment.
- Conduct data analysis to uncover trends, gaps, and opportunities for service enhancement, while developing actionable recommendations.
Qualifications:
- In-depth knowledge of quality improvement methodologies and practices, including the Plan-Do-Study-Act (PDSA) cycle.
- Familiarity with DDD policies, procedures, and relevant healthcare regulations.
- Strong analytical skills with the ability to interpret complex data and develop effective improvement strategies.
- Excellent communication skills, both verbal and written, with a focus on clear and professional documentation.
Preferred Experience:
- At least two years of experience working with individuals with Intellectual Disabilities.
- Proven track record in a performance improvement role, particularly with HEDIS and CMS Core measures.
Benefits:
The Arizona Department of Economic Security offers a comprehensive benefits package, including:
- Affordable health, dental, and life insurance options.
- Participation in the Arizona State Retirement System (ASRS).
- Generous paid time off, including holidays and sick leave.
- Flexible work schedules to promote work-life balance.
We are committed to providing a supportive work environment that values flexibility and employee development.
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