Quality Improvement Manager

About the role

The Quality Improvement Manager oversees quality improvement activities across Indiana’s Medicaid programs, ensuring compliance with federal and state requirements. This role focuses on interpreting federal regulations, analyzing program data, monitoring MCO adherence to contractual and regulatory obligations, and identifying opportunities for improvement.

Responsibilities

• Determine, analyze, identify and implement long-range objectives and specify strategies, KPIs, and actions to achieve them.
• Analyze operations to evaluate performance of the specific program or its staff in meeting objectives or to determine areas of potential cost reduction, program improvement, or policy change.
• Interpret and explain in-depth and complex policies, rules, regulations, or laws to organizations, government or corporate officials, or individuals.
• Develop and implement corrective action plans to solve organizational or departmental problems.
• Prepare and present reports for approval, including those for funding or implementation of services to executive leadership.
• Develop and oversee program financial or budget activities to fund operations, maximize investments, or increase efficiency.
• Develop and monitor program requirements to ensure they meet federal and state policies and grants compliance.
• Develop and supervise training of employees and consultants on program requirements and usage.
• Develop, coordinate, and deliver communication plans and communications.
• Preside over, or serve on, boards of directors, management committees, or other governing boards.
• Recruit, select, onboard, and train employees to ensure role responsibilities and expectations are clearly understood while providing opportunities to continue professional development.
• Ensure work adheres to quality standards, deadlines, and proper procedures.

Requirements

• A degree in nursing, public health, or a related field that supports quality oversight work.
• At least three years of experience in public health or long-term care.
• One year of clinical and supervisory experience preferred.
• Experience with managed care quality requirements, NCQA accreditation standards, and Medicare quality regulations is highly desirable.
• A current, nursing license is preferred but not required.

Qualifications

• Extensive knowledge of the principles, practices, and techniques of a broad area of training and education, including texts and materials developed in the field.
• Thorough knowledge of the agency or institution’s functions, operations, and purpose.
• Considerable knowledge of experiential learning techniques.
• Praactical knowledge of laws, rules, and regulations governing mandated training within the agency.
• Ability to develop, monitor and evaluate broad training programs.
• Ability to plan and conduct seminars, workshops, and training sessions.
• Ability to assemble training materials, including writing comprehensive manuals and assembling texts, films, slides, and characters.
• Ability to establish effective and cooperative working relationships with trainees, other instructors, and the entire agency staff.
• Effective communication skills.
• Ability to keep current on new trends, philosophies, and available materials regarding adult education.
• Ability to delegate work, set clear direction, and manage workflow.
• Ability to effectively give feedback, provide guidance or corrective action, coach, and develop employee skill sets.

Skills

• Knowledge of Medicaid quality standards.
• Ability to interpret and explain complex policies, rules, regulations, or laws.
• Ability to develop and implement corrective action plans.
• Ability to prepare and present reports.
• Ability to develop and oversee program financial or budget activities.
• Ability to develop and monitor program requirements.
• Ability to develop and supervise training of employees and consultants.
• Ability to develop, coordinate, and deliver communication plans and communications.
• Ability to preside over, or serve on, boards of directors, management committees, or other governing boards.
• Ability to recruit, select, onboard, and train employees.
• Ability to ensure work adheres to quality standards, deadlines, and proper procedures.

Benefits

The State of Indiana offers a comprehensive benefit package for full-time employees which includes:

• Three (3) medical plan options (including RX coverage) as well as vision and dental plans.
• Wellness Rewards Program: Complete wellness activities to earn gift card rewards.
• Health savings account, which includes bi-weekly state contribution.
• Deferred compensation 457(b) account (similar to 401(k) plan) with employer match.
• Two (2) fully-funded pension plan options.
• A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers.
• Up to 15 hours of paid community service leave.
• Cumulative 180 hours of paid vacation, personal, and sick leave time off.
• 12 paid holidays, 14 on election years.
• Education Reimbursement Program.
• Group life insurance.
• Free parking for most positions.
• Free LinkedIn Learning access.

Pay

The salary for this position traditionally starts at $75,010.00 but may be commensurate with education and work experience. Use our Compensation Calculator to view the total compensation package.