DIRECTOR OF QUALITY

Job Responsibilities

• Participates in redesigning the Quality Improvement Committee.
• Steers the development of the Quality Improvement Program.
• Develops performance improvement strategies.
• Develops, implements, and refines quality and safety programs.
• Designs, monitors, and evaluates performance and project improvement strategies.
• Works in conjunction with business owners to assess opportunities for improvement.
• Collaborates with operations leadership to develop action plans.
• Makes recommendations to appropriate staff and committees.
• Serves as a subject matter expert.
• Facilitates and supports operational changes.
• Designs and evaluates clinical support and education programs.
• Serves as the quality liaison.
• Ensures quality initiatives align with improving patient experience, population health, and healthcare costs.
• Ledges discussion and analysis of utilization and quality management trends.
• Leads monthly / quarterly reporting submissions to CMS and NYSDOH.
• Analyzes participant surveys for Medicare and MLTC and HOS-M surveys.
• Collaborates on project implementation to maximize efficiency and teamwork.
• Develops strategy and related goals for optimal service delivery by contracted vendors.
• Works with vendor management staff to implement strategic plans.
• Monitors vendor performance and improvement activities.
• Identifies and addresses elements of vendor performance requiring immediate actions.
• Ensures effective staff training compliance and evaluates staff performance.
• Recommends staff training, hiring, promotions, terminations, and salary actions.
• Prepares and ensures adherence to the department budget.
• Recommends, implements, and monitors corrective action plans.

Qualifications

• Requires a Bachelor’s degree in Nursing.
• A Master's Degree is preferred.
• Minimum of five (5) years (in a leadership capacity) experience in quality improvement and measurement, health information management, strategic planning, performance improvement, and research in a managed care / Health Plan organization preferred.
• Project Management experience preferred.
• Knowledge of Federal and NYS regulatory requirements.
• Experience working for or in long term care or a managed care setting.
• Project management skills are strongly preferred.
• Ability to lead and motivate others, develop project plans with corporate-wide impact, and work in team groups required.
• Proven strategic thinking, problem-solving, and analytical skills.
• Strong written, verbal, and interpersonal communication skills.
• Strong relationship building skills.
• Proficiency in training and staff development is preferred.
• Proficiency with computers, including Windows, Excel, Word, and PowerPoint, required.