Business Professional Job In Irving, Texas
Program Manager Health Plans Quality Improvement - Irving
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Irving, Texas 75039 Type of Facility: Hospital
Summary:
The Program Manager Health Plans Quality Improvement will take charge and help manage our Programs within the quality department, and to work directly with the Director of Quality, and other team members to ensure compliance with accreditation requirements are in place and re-engineered within appropriate timeframes. This role will conduct routine readiness assessment and evaluation of policies and procedures, as well as programs for CAHPs, and other initiatives.
Responsibilities:
- Active collaborator with multiple internal departments to create and implement various programs /plans under the Quality program/banner.
- Monitors the various programs (e.g. PHM Strategy) from inception through completion.
- Responsible for keeping the company current on NCQA and/or Center for
- Medicare/Medicaid Services (CMS) standards and requirements.
- Manage the health plan NCQA preparations for accreditation surveys.
- Take lead on program evaluation, program description, and work plan
- Leads and manages team in planning and executing business programs.
- Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
- Lead policy and procedure documentation reviews for the health plans based on NCQA standards.
- Develop readiness assessment schedules, conduct accreditation audits and ensure changes to the standards are incorporated.
- Manage quarterly Quality Improvement Committee meetings.
- Manage all CAHPs and work with Population Health team
- Work with Project manager to coordinate and manage operational functions of quality programs
- Work closely with outreach team, special program oversight;
- Other duties as assigned.
Requirements:
- Bachelor’s Degree or equivalent combination of education and experience. Preferred Masters in Healthcare management, Health Policy, and Business management/administration
- 3-5 years of Program and/or Project management experience.
- Experience with NCQA Accreditation, NCQA file review audits and assisting with creation of NCQA reports preferred, Population health management and PDSA.
- Good writing skills and mixed model studies.
Work Type:
Full Time
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CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures.
Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ.
To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.
EXTENDING THE HEALING MINISTRY OF JESUS CHRIST
We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.