Description of DIRECTOR QUALITY & PERFORMANCE IMPROVEMENT NYC MANAGED CARE
DIRECTOR QUALITY & PERFORMANCE IMPROVEMENT NYC MANAGED CARE
Managed Long Term Care Program/PACE
We have been retained by a large, prominent NYC Managed Care Organization to locate an individual to serve as Director Quality Improvement/Performance Improvement. He/she will oversee a staff of seven (7) and be responsible for development, implementation, integration and management of all quality assurance /performance improvement activities within their Medicaid and Medicare programs and will report to VP of Population Health, Quality and Education.
EXPERIENCE: The successful candidate will have a Bachelor’s degree in Nursing or a health related field.
A Masters degree in a health related or business field is preferred. He/she should have a proven progressive management track record in Quality Assurance/ Performance Improvement coupled with experience in Utilization Review, Discharge Planning, Medicare and Medicaid Audits in a Medicare Managed Care Program, Long Term Managed Care Program or Certified Homecare.
He/she shall have strong analytic and communication skills and be proactive and visionary in evaluating member outcomes and developing best practices to bring the organization to a higher level. He/she will work closely with Case Management and Education Departments within the organization. He/she shall have proficiency in MS Word, Excel, PowerPoint and Crystal Report writing.
All inquiries held in strict confidence