Elevance Health

Mgr Quality Management (BHS)

Elevance Health • $80K — $100K *
Granger, IN 46530In-Person
Hospitals & Medical Centers
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor's degree or clinical degree required; master's preferred.
  • 5+ years experience in quality improvement methods like Lean/Six Sigma.
  • Knowledge of Joint Commission, CMS, and Indiana Department of Health standards.
  • Experience with Root Cause Analysis and Healthcare Failure Mode and Effects Analysis.
  • Strong data analysis and Microsoft Office skills.

Responsibilities

  • Organize and direct the operations of the Quality Management department.
  • Develop policies and procedures for quality improvement initiatives.
  • Supervise Quality Management staff and evaluate their performance.
  • Coordinate quality management services with other departments and stakeholders.
  • Lead improvement projects in patient safety, satisfaction and clinical quality.

Benefits

  • Opportunity to lead quality improvement initiatives.
  • Work in a collaborative and innovative environment.
  • Engage with a diverse range of professionals in healthcare.
  • Participate in community and professional activities.
  • Access to professional development and training opportunities.
Full Job Description
Reports to the Executive Director of Quality. Responsible for organizing, planning and directing the efficient operation of the Quality Management department. Directs the Hospital's quality improvement processes and programs. Develops, recommends and administers departmental policies and procedures in accordance with established Hospital guidelines. Supervises assigned Quality Management associates including other Beacon organizations. The Quality Manager participates in the planning, implementation and evaluation of the quality, patient safety and operational performance improvement program. The manager serves as a project manager for entity quality and safety projects, while also serving as an advisor and local change agent for hospital and associated business entities and other areas as assigned. The Quality Manager supports teams with the most current PI methods and tools, including project management support. This work includes, though is not limited to, facilitation of PI projects and workshops, management and surveillance of data for PI opportunities, messaging trends in the data to departments and staff, education of staff in the latest PI methods, and responding to serious patient safety events. This position is accountable for facilitating improvement in the areas of clinical quality and patient safety, patient satisfaction and clinical operations and promotes organization high reliability.
Establishes Quality Management department direction in accordance with Hospital guidelines and established goals and objectives by:
  • Determining short- and long-term objectives consistent with the goals of the Hospital.
  • Recommending policies and standards for the department.
  • Formulating personnel, expense and capital equipment budgets for the department.
  • Providing departmental leadership and guidance.

Supervises Quality Management staff by:
  • Conducting interviews and hiring qualified candidates for open budgeted positions.
  • Evaluating performance of those supervised and recommending salary increases.
  • Counseling employees as necessary and interpreting Hospital and departmental policies and procedures.

Coordinates Quality Management department services with other departments and serves as a liaison for the department by:
  • Advising Executive Director of Quality regarding department status and needs.
  • Participating in department directors' meetings and serving on various committees as assigned.
  • Establishing and maintaining effective communications and working relationships with the Medical Staff, Vice President of Medical Affairs and other departments.
  • Participating in professional and community activities.
  • Facilitating Participating in meetings for the Medical Staff Quality Committee.
  • Attending Medical Staff meetings to facilitate presentations on quality and monitoring results as needed.
  • Supporting Quality Management liaison to Hospital system committees requiring quality outcome data information.
  • Coordinating or initiating correspondence or quality plans to Medicare PRO and other outside agencies.

Enhances Quality Outcomes by:
  • Leads or participates in improvement work in patient satisfaction, patient safety, clinical quality and operations.
  • Utilize and share with teams the various high reliability and PI tools, methods and approaches.
  • Facilitates projects and workshops to support teams, maintaining a collaborative partnership with healthcare system leaders and associates.
  • Serve as a change-agent in efforts for quality/safety improvement.
  • Ensuring compliance of external and internal regulatory requirements related to accreditation and licensure.
  • Supervises and directs the clinical data analyst staff to identify trends in data to develop action plans to improve clinical outcomes.
  • Understand, disseminate and communicate trends in quality and safety data.
  • Explain the meaning of process and outcome data and how it reflects success in performance improvement. Identify, implement and monitor action plans to address opportunities for improvement.
  • Promotes a culture of safety; assists with the Patient Safety Culture Survey and action plan.
  • Helps develop project plans and facilitates improvement in our risk reduction initiatives.
  • Oversees the training, monitoring of event submissions, event trends and action plans as it relates to quality patient safety. Responds to serious safety events and communicates to practices and leadership as appropriate.
  • Responsible for the growth in use of high reliability strategies.
  • Responsible for the creation, review, revision and communication of clinical/safety related policies.
  • Other duties as assigned to support the unit, department, entity, and health system organization.

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:
  • Acting as a clinical resource to other department members.
  • Completing other job-related assignments and special projects as directed.

Leadership Competencies
  • Drives Results - Consistently achieving results, even under tough circumstances.
  • Customer Focus - Building strong customer relationships and delivering customer-centric solutions.
  • Instills Trust - Gaining the confidence and trust of others through honesty, integrity, and authenticity.
  • Collaborates - Building partnerships and working collaboratively with others to meet shared objectives.
  • Communicates Effectively - Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.
ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements:
  • Attends and participates in department meetings and is accountable for all information shared.
  • Completes mandatory education, annual competencies and department specific education within established timeframes.
  • Completes annual employee health requirements within established timeframes.
  • Maintains license/certification, registration in good standing throughout fiscal year.
  • Direct patient care providers are required to maintain current BCLS (CPR), and other certifications as required by position/department.
  • Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
  • Adheres to regulatory agency requirements, survey process and compliance.
  • Complies with established organization and department policies.
  • Available to work overtime in addition to working additional or other shifts and schedules when required.

Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:
  • Leverage innovation everywhere.
  • Cultivate human talent.
  • Embrace performance improvement.
  • Build greatness through accountability.
  • Use information to improve and advance.
  • Communicate clearly and continuously.

Education and Experience
  • Bachelor's degree or clinical degree required; master's degree preferred. Nursing experience is preferred, although candidates with non-clinical degrees, such as MBA, MPH, or MS will be considered if there is commensurate work experience in healthcare performance improvement and hospital operations. BSN preferred and 5+ years knowledge and experience in quality improvement modes, such as Lean/Six Sigma, the IHI Model for Improvement, or other comparable performance improvement strategies. Knowledge of Joint Commission, CMS and Indiana Department of Health standards/regulations is required. Knowledge of national standards and outcomes for quality, safety and healthcare Anthem Measures and Value Based Purchasing, AHRQ, Leapfrog, Experience with Root Cause Analysis and Healthcare Failure Mode and Effects Analysis.

Knowledge & Skills
  • Demonstrates administrative and supervisory skills necessary to direct a number of organization programs and supervise professional and paraprofessional staff.
  • Demonstrates analytical skills necessary to develop programs, evaluate projects and approve or recommend changes in policies and procedures and staffing levels that affect the Quality Management department. Demonstrate accurate, thorough data collection and analysis and have knowledge and experience of Microsoft Office, SharePoint, and project management tracking tools.
  • Demonstrates interpersonal skills necessary to interact effectively with a variety of contacts within and outside the Hospital (i.e., medical staff, hospital department directors, external regulating agencies, etc.).
  • Demonstrates well-developed communication skills (both verbal and written).
  • Demonstrates ability to make effective presentations before groups of various sizes.
  • Demonstrates initiative, judgment, creativity and leadership abilities. Change management skills and the ability to network and influence. Have consultative, team building, and group facilitative skills, as well as strong project management skills.

Working Conditions
  • Works in an office environment.

Physical Demands
  • Requires the physical ability and stamina to perform the essential functions of the position.

About Elevance Health

Epoch Health represents the next evolution in comprehensive healthcare specifically for men. Our philosophy is a clinical approach designed to help men enhance their quality of life through truly personalized and professional clinical care. At Epoch we stress appropriate health treatments, proactive screenings and lifestyle modifications.

Elevance Health Careers

Join the vibrant team at Elevance Health, a leader in healthcare solutions, where we prioritize innovation, leadership, and the well-being of our communities. At Elevance Health, we offer more than just job opportunities; we provide a pathway to a fulfilling career in a diverse and inclusive environment.

Work You’ll Do

At Elevance Health, you will be part of a team dedicated to reshaping the future of healthcare through outstanding service and cutting-edge technology. Our professionals enjoy a culture of collaboration and respect that supports both personal and professional growth.

Explore Career Opportunities

Whether you're seeking your first internship or a seasoned professional position, Elevance Health offers a range of employment opportunities across various specialties. Our team is growing, and we are hiring individuals who are passionate about making a difference in healthcare. Explore positions that match your skills and interests in our dynamic company.

Innovate and Lead

Join us and contribute to a culture of innovation and continuous improvement. At Elevance Health, you will work alongside industry leaders and have the chance to develop leadership skills that are crucial in today’s fast-paced healthcare environment. Our leadership and diversity training ensure that all team members are equipped to lead, inspire, and thrive.

Develop Your Career

Elevance Health is committed to the professional growth of our employees. With access to comprehensive benefits, career development programs, and networking opportunities, you can expand your skills and advance your career within a supportive and nurturing environment. Our commitment to professional development is reflected in our robust training programs and our focus on promoting from within.

Benefits and Culture

We understand that the well-being of our employees is paramount. Elevance Health offers competitive benefits designed to support the health, financial security, and work-life balance of our team members. Our inclusive culture fosters innovation and is one of our greatest strengths.

Join Our Team

Ready to make a significant impact in healthcare? Search for open job opportunities at Elevance Health that align with your skills and career ambitions. We are looking for curious, creative, and solution-driven team players who are ready to drive change and deliver solutions.

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Keep up to date with the latest in career opportunities and company news by subscribing to our job alert emails. Tailor your subscription to receive updates that align with your career preferences and see what exciting and rewarding opportunities await at Elevance Health.

Apply Now

Start your journey with Elevance Health by exploring our career portal for available job opportunities. Submit your resume, prepare for your interview, and take the first step towards a rewarding career that makes a real difference.

Elevance Health Careers

Empowering your future in healthcare. Join us and be part of a team that is dedicated to improving lives and communities every day.
Learn more about Elevance Health
Size
3,969 employees
Market Cap
$116.9 billion
Industry
Hospitals & Medical Centers
Net Income
$4.5 billion
Founded
1944
5 Year Trend
+10.3%
Revenue
$121.8 billion
NASDAQ
ANTM
* Ladders Estimates

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