Director of Quality Management and Improvement - Maryland Market
Elevance Health

Job Info

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Description

Director of Quality Management and Improvement

• Monday -Friday 9 am - 5:30 pm EST
  
• Candidate MUST be a resident of Maryland
  
• This position is hybrid. Candidate must be willing to report to the office a minimum of 1 day a week.
  

Build the Possibilities. Make an extraordinary impact.

Responsible for the oversight of all Quality Management functions and activities.

How you will make an impact:

• Primary contributor to new business strategy, program innovation, program development, system reform and improvement strategies.
  
• Key partner in ongoing contractual relations with government, multiple state agencies and provider organizations.
  
• Oversight of data visualization program inclusive of external and internal dashboards.
  
• Subject matter expert on program implementation, health equity, data analysis, housing systems and homeless management.
  
• Manages Academic partnerships inclusive of product development strategy and professional publications.
  
• Directs all research, data analytics and program evaluation activities. Directs solutions related to analysis of the data.
  
• Oversees the implementation of new initiatives. Leads interactions with regulators or oversight entities.
  
• Oversees quality improvement activities for the largest, most complex state programs.
  
• Manages portfolio of measure development and programs, and interventions.
  
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.
  

Minimum Requirements:

• Requires a BA/BS in a health or business-related field and 10 years of Quality strategic experience, preferably in a healthcare environment, including prior management experience; or any combination of education and experience, which would provide an equivalent background.
  

Preferred Qualifications:

• Master's degree strongly preferred.
  
• PhD strongly preferred.
  
• Minimum of seven (7) years of cross-functional operational experience, three (3) of which using Contractor's System strongly preferred.
  
• Minimum of five (5) years' experience in QA of Medicare/Medicaid coverage and reimbursement regulations and compliance strongly preferred.
  
• Licensed in the area of Behavioral Health STRONGLY preferred.
  
• Clinical Quality Management experience in a Managed Care Organization preferred.
  
• Population health management and/or clinical quality program development experience preferred.
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.

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