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Quality Management Manager
Job Code:2020-90-002
Department:900 Infrastructure Development
FT/PT Status:Regular Full Time
Salary Minimum69,219
Salary Midpoint86,523
  
Position Closes:
2/23/20

Job Responsibilities & Qualifications:
Job Summary
The Quality Management (QM) Manager will report to the Director of Quality Management and Patient Safety of the Cherokee Indian Hospital Authority (CIHA). The QM Manager, under the leadership of the Director of QM and Patient Safety, and following a matrix team model, will be responsible for the overall management of the Tribal Options Quality Management plan, including developing the necessary infrastructure and reporting processes to meet the requires set forth in accordance with the NC Division of Medical Assistance and ensure adherence to national accreditation guidelines.

Job Description
The position is responsible for establishing, implementing, monitoring, and the annual evaluation of the Tribal Option Quality Management program, The position must work collaboratively across all departments to ensure awareness of the goals and expected outcomes detailed in the QM plan and develop a process to continuously identify areas for study and improvement. The QM Manager, in coordination with the Medical Director, is responsible to develop a Quality Assessment and Improvement program and identify at least four Performance Improvement Plans (PIPS) that focusing on improving the healthcare of members served under tribal options, addressing issues that could impact member safety and/or improving organization performance for areas that are outliers of contractual requirements, establish CIHA policy and procedures and national accreditation standards.


Education/Experience/Minimum Qualifications
• A BA/BS in human services related field and quality management experience required.
• Minimum five (5) years of recent quality management experience and two (2) years of managed care experience required.
• Knowledge of Medicaid managed care and previous work with tribal health care preferred.
• Other requirements:
• Excellent verbal, written and interpersonal skills a must.
• Excellent analytical and organizational skills with strong attention to details.
• Proven ability to solve problems and make sound decisions.
• Ability to work collaboratively with cross-functional agency units and departments.
• Ability to work independently and within a team environment.
• Ability to function effectively within an ever-changing environment to meet deadlines and reprioritize as necessary.
• Proficiency in MS Office and Managed Care tools and platforms.