QI and Accreditation Mgr

Job Summary

This professional position is assigned the responsibility and accountability to manage and coordinate quality improvement and accreditation activities for Cox HealthPlans. Provides leadership necessary to achieve national best practice performance levels in quality improvement programs while implementing evidence-based medicine and practice solutions. Leads the Accreditation Association for Ambulatory Healthcare (AAAHC) accreditation process and ensures ongoing accreditation readiness.

Job Requirements

Education

Bachelor's degree or 5 years experience in nursing, public health, health administration, or health related field required.

Experience

Preferred: Experience with accreditation, regulatory survey process, Quality Improvement, and managed care.

Skills

Prior AAAHC, NCQA or URAC project lead highly desirable.

Knowledge of HEDIS (Healthcare Effectiveness Data and Information) Measures

Previous supervisory experience preferred.

Knowledge of governmental & other regulatory standards, requirements, & guidelines related to quality improvement, such as AAAHC, NCQA or URAC.

Knowledge of personal computers and software.

Knowledge of computerized programs.

Knowledge of principles of statistics, preferred.

Ability to maintain accurate records.

Ability to communicate effectively, both orally and in writing.

Ability to establish and maintain effective and cooperative working relationships with staff and network providers.

Ability to assume responsibility and exercise good judgment in making decisions within the scope of authority of the position.

Ability to think and work effectively under pressure and accurately complete tasks within established times.

Ability to prioritize tasks and meet deadlines.

Ability to maintain confidentiality.

Licensure/Certification/Registration

Preferred: Current state's RN license.

Preferred: Certified Professional in Health Care Quality.