Supervisor, Quality Practice Advisor

About the role

Responsible for providing leadership and direction for clinical, quality, risk-adjustment, value-based contracts, and provider outreach functions. Responsible for supervision of QPA field staff and administrative personnel to increase member quality of care, reduce costs, and identify risk adjustment opportunities. Oversees programs to support company initiatives in clinical quality, risk-adjustment, and financial management and provides data analysis on program progress and outcomes. Provides supervision, coaching, training, and development of field staff.

Responsibilities

• Oversees and manages quality and risk-adjustment initiatives/programs
• Provides and analyzes reports to identify trends, opportunities, and plan regarding progress and outcomes of initiatives
• Collaborates with other managers on overall strategy and direction for the team
• Collaborates with cross-functional teams on joint initiatives
• Performs other duties as assigned
• Complies with all policies and standards

Requirements

• A bachelor’s degree in health care, Nursing, Public Health Administration or Business, or equivalent work experience is required
• Health science related, preferably nursing
• 3 years of experience
• Some experience functioning as a lead – 2+ years
• 5 years of experience working in a managed care environment
• Project management experience is preferred

License/Certification Required

• One of the following:
  • Certified Coding Specialist (CCS)
  • Licensed Practical Nurse (LPN)
  • Licensed Registered Nurse (RN)
  • Acute Care Nurse Practitioner (APRN) (ACNP-BC)
  • Licensed Vocational Nurse (LVN)
  • Other Foreign trained physician/MD
• Preferred:
  • Health Care Quality and Management (HCQM)
  • Certified Healthcare Professional (CHP)
  • Certified Professional in Healthcare Quality (CPHQ)

Location & Travel

Must live in the Indianapolis, IN area and have reliable transportation, valid driver’s license and insurance. Must be willing to travel. Travel is around 30% of the time.

Pay

$70,100.00 – $126,200.00 per year