Senior Manager, Quality

Magellan Health Services   •  

Albuquerque, NM

5 - 7 years

Posted 236 days ago

This job is no longer available.

Responsible for multi-faceted quality and accreditation program requiring senior level management within an assigned unit of a SBU. Manages multiple aspects of a quality program and accreditation processes. Interfaces with customers and accreditation and regulatory entities. May supervise staff.

- Manages day-to-day quality activities in assigned area ensuring program and procedures support company goals for service, quality, and cost effectiveness as well as compliance with contract, federal and state requirements. Activities and projects may include (based on the services and products of the business unit):
- Quality program development and oversight
- Interfacing with customers on quality program
- Trainings on CQI processes
- Conducting internal audits of charts and clinical/service procedures
- Satisfaction survey coordination and follow-up
- Coordination of Advisory Groups
- Tracking of adverse incidents
- Monitoring of performance guarantees
- Provider profiling support
- Quality studies and quality process improvement projects
- Accreditation project management
- Quality committee support and direction
- Performance metrics and scorecards
- Liaison with assigned departments to ensure quality projects are integrated within operations.

Minimum Qualifications


Masters: Healthcare (Required)

License and Certifications - Required

License and Certifications - Preferred

LSW - Licensed Social Worker - Care Mgmt

Other Job Requirements


Knowledge of quality improvement processes and performance measurement. Expertise in word processing and data management software. Interpersonal and organizational skills, and the ability to manage multiple complex projects simultaneously to meet deadlines. Knowledge of quality improvement standards and accreditation and audit processes. Must be skilled at mastering new areas of content and operations. Excellent written and verbal communication skills required.5+ years healthcare quality improvement. Managed healthcare experience with demonstrated outcome improvement