In this role, you will be responsible for processes are implemented to evaluate and identify opportunities for improvement in the provision of high quality, safe and resource effective medical care to its patients.
In this role, the selected candidate directs, coordinates and implements Quality and Patient Safety initiatives to ensure operational alignment with assigned Hospital/Institute and organizational objectives.
In this role, the selected candidate directs and Controls the activities of one or more functional areas and product groups through managers with overall responsibility for the direction of those assigned areas.
The Director will set strategy and provide leadership regarding standards for the management of the quality and compliance department; including design, development, and implementation of an effective compliance and auditing program.Responsible for coordinating, leading and managing multiple functional areas, including claim audits, plan benefit set-up audits, eligibility coverage audits, claim adjustments, overpayment recoveries and claim appeals.
In this role, you will implement enhanced quality assurance routines in concert with the lines of business to ensure that materials provided in response compliance reports and rescission feedback are complete, fully responsive and meet quality standards.
In this position, you will demonstrate responsibility and accountability for organizational wide occurrence reporting system; analyzes and reports trends and identifies appropriate interventions to reduce risk and liability to the organization.
In this role, you will demonstrates responsibility and accountability in the organizational wide direction and facilitation of performance assessment, reassessment, development and implementation of the Quality/Performance Improvement program in accordance with all regulatory requirements.
In this role, you will assist Eckerd Kid's Senior Director of and Quality and Contracts in the development and execution of Eckerd Kid's Perpetual Performance Improvement Process across all direct services programs.