This Fortune 500 client is a nation-wide leader in the healthcare services field and they pride themselves on their ability to provide a wide range of government sponsored healthcare programs; including a variety of insurance solutions. Currently, they are seeking a VP, Strategic Process Improvement. Who will assist in the development and application of the business unit s strategic mission and vision. Identify and champion the selection of process improvement activities across the enterprise.
Position: Direct Hire
Location: Little Rock, AR
Similar positions: Director of Healthcare Improvement, Director of process improvement.
Must have substantial Sr. Experience learding quality functions for healthplan; Medicare, Medicaid, Healthcare reporting and Provider performance plans
Review and Identify organization and departmental risk
Drive process improvement based on HEDIS, Stars, State Contract, Quality & Pay for Performance and Marketplace QRS and Medicare metrics.
Develop plans and systems that align with the National Committee for Quality Assurance (NCQA) Accreditation and Healthcare Effectiveness Data and Information Set (HEDIS) performance ensuring highest level of accreditation
Ensure the development and implementation of enterprise wide and market specific process improvement programs
Review and present results of quality interventions for clinical and operational performance improvements and identify organizational risks to executive management
Review and analyze cost benefit and return on investment analyses for organizational resource allocation and recommend action plans
Responsible for building relationship and positioning MHS as the go to source for state of the art MCE Quality Metrics.
Bachelor's degree in healthcare or related clinical field. Master's in Business Administration preferred.
10+ years of healthcare operations experience including, quality and process improvement experience.
Experience with NCQA accreditation preparation and auditing, including the analysis of HEDIS performance measures.
License/Certificates: Certified Professional in Health Care Quality (CPHQ). RN License preferred.