The position is contingent on a contract award.
Responsible for assigned areas of quality within a specified unit of a SBU. Implements assigned quality program components. Interfaces with customers and regulatory entities. May have accreditation responsibilities based on contract requirements.
- Manages day-to-day quality activities ensuring program and procedures support company goals for service, quality, and cost effectiveness as well as compliance with contract, federal and state requirements. Activities and projects may include interfacing with customers on quality programs.
- Supervises quality staff to ensure successful execution of projects and initiatives.
- Conducts training sessions on Continuous Quality Improvement (CQI) processes.
- Coordinates quality initiatives.
- Coordinates satisfaction survey and follow-up.
- Coordinates Advisory Groups.
- Tracks adverse incidents and Quality of Care concerns.
- Monitors performance measures.
- Supports provider profiling.
- Audits for quality control.
- Conducts quality studies and manages quality improvement projects.
- Prepares customer and site reports with assistance from Reporting and Analytics team.
- Participates on quality committees to ensure quality issues are taken to the committee and recommendations are made, by the committee, in a timely manner. Makes recommendations to the Committee for improving plan operations based on data from performance indicators, QI studies, and quality activities.
- Serves as liaison with assigned departments to ensure quality projects are integrated within operations.
- Conducts internal audits of charts and clinical/service procedures for quality purposes.
Other Job Requirements
Responsibilities
5+ years of healthcare quality improvement experience.
Knowledge of quality improvement processes and performance measurement.
Demonstrated skills in project management.
Strong interpersonal and organizational skills.
Expertise in word processing and data management software.
General Job Information
Title
Quality Manager, MOS
Grade
27
Work Experience - Required
Healthcare, Quality
Work Experience - Preferred
Education - Required
Bachelor's - Healthcare
Education - Preferred
Master's - Behavioral Health
License and Certifications - Required
License and Certifications - Preferred
LSW - Licensed Social Worker - Care Mgmt
Salary Range
Salary Minimum:
$77,785
Salary Maximum:
$124,455
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
What We Do
Magellan Health is a leader in managing the fastest growing, most complex areas of health, including special populations, complete pharmacy benefits and other specialty areas of healthcare. Magellan supports innovative ways of accessing better health through technology, while remaining focused on the critical personal relationships that are necessary to achieve a healthy, vibrant life. Magellan's customers include health plans and other managed care organizations, employers, labor unions, various military and governmental agencies and third-party administrators.
