Quality Improvement Manager

3 weeks ago

Edmond, Oklahoma, United States Telligen Full time
Job Title: Quality Improvement Manager

At Telligen, we are seeking a highly skilled Quality Improvement Manager to join our team. As a Quality Improvement Manager, you will play a critical role in supervising a remote field-based practice facilitation team of 10 registered nurses. Your primary responsibility will be to work directly with Oklahoma providers and clinics who choose to participate in the HMP. You will be responsible for tracking key performance indicators (KPIs) for the team and individual facilitators, ensuring goals are met.

Key Responsibilities:
  • Provide leadership and mentoring while actively participating in the recruitment and facilitation process of each clinic.
  • Conduct regular performance reviews and provide feedback for continuous improvement.
  • Foster a collaborative and positive work environment that encourages growth and professional development.
  • Responsible for weekly, monthly, and quarterly reporting of program activities and outcomes and progress with each clinic's work towards clinical measures compliance and best practices implementation.
  • Participate in weekly leadership meetings and monthly client meetings.
  • Monitor provider satisfaction and community presentations and collaboration with local and state agencies.
  • This position is required to be proficient in working within Telligens proprietary data platform Qualitrac and Johns Hopkins population health analytics software, Care Analyzer.
  • Manage day-to-day operations of the assigned team and participate as a member of the contract leadership team role and responsibilities.
  • Coach, guide, and direct team members to achieve state goals for improving health outcomes and reducing ER utilization and admission.
  • Ensure contract requirements and deliverables are met and submitted as required.
  • Develops and maintains relationships with key stakeholders.
  • Coaches, guides and directs team members to ensure the Management Philosophy that "Managers coach, engage, and support our people to achieve results".
  • Provides resources and support as needed to meet and achieve individual, team, and organizational objectives.
Requirements:
  • Current unencumbered RN license in Oklahoma.
  • Four-year degree in nursing, healthcare, business, public health, or a related field.
  • 5 years of experience in a healthcare environment including care management and/or healthcare quality improvement.
  • 3-5 years managing projects and/or a professional staff.
  • Demonstrated experience working in a fast-paced and deadline-driven environment.
  • Medicaid contracting expertise.
  • Proficient in Microsoft products.
  • Strong work ethic.
  • Innovative.
  • Quality assurance and data analytics experience.
  • Ability to establish positive relationships with stakeholders both external and internal.
  • Confidence and skill in pitching, presenting, reporting, and recruitment efforts with hospitals, clinics, providers, and community Stakeholders.
  • Self-driven and motivated.

Commitment to Safety: As part of our commitment to health and safety, some roles may require additional health protocols (i.e. personal protective equipment or vaccination).

About Us: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.

Our Values: At Telligen, we are driven by our values of Ownership, Community, Ingenuity, and Integrity. We believe in putting others first and being a good corporate partner wherever we work and play. We celebrate free-thinking and challenge the status quo to advance our mission.

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