Director, Statewide Quality California Medicaid
Direct Staffing Inc · Thousand Oaks, CA, United States
- Company
- Direct Staffing Inc
- Work style
- Onsite
- Employment
- Full Time
- Location
- Thousand Oaks, CA, United States
- Published
- 2014-11-22
- Source checked
- 2026-09-16
- Listing source
- SmartRecruiters Posting API
About this role
Company Description Healthcare Job Description Director, Statewide Quality California Medicaid Thousand oaks California Exp 10-15 yrs Deg Bachelors Relo Bonus Occasional Travel Job Description Director Clinical QM AGP Plan - LgPln This is a statewide position that will oversee all quality and NCQA activities for the CA Medicaid Business, reporting to the Chief Medical Officer. Primary duties may include, but are not limited to: • Provides leadership for implementation of The Quality Management Program for the assigned California Health Plan. • Establishes annual goals and objectives. • Promotes understanding, communication, and coordination of the Clinical Quality Management Program. • Oversees Quality Management (QM) Scorecard reporting. • Provides leadership for the development, implementation, and evaluation of Clinical Quality improvement action plans. • Provides leadership for the member/provider satisfaction survey process. • Oversees Health Employer Data Information Sets (HEDIS) reporting and the development of action plans to achieve target improvement goals. • Supports the Health Plans External Quality Review Organization (EQRO) state audit processes. • Participates in the Quality Improvement Council (QIC). • Supports compliance with National Committee for Quality Assurance (NCQA) standards or other accrediting bodies. • Hires, trains, coaches, counsels, and evaluates performance of direct reports. Qualifications • Requires a BA/BS. • 10 years of experience in quality management. • HEDIS, and health plan experience preferred. • RN, MBA, MPH, or additional Quality certifications preferred. Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc
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