About iMPROve Health
Come join the iMPROve Health team! iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization. We are both a Cool Place to Work (Crain’s Detroit Business) for the last 4 years and one of the Best Places to Work in Healthcare as judged by Modern Healthcare. As a nonprofit organization, we have more than 35 years’ experience improving healthcare across the continuum of care using evidence-based and data-driven logic. iMPROve Health provides medical consulting and review, as well as data analysis to federal agencies, state Medicaid and public health organizations, healthcare facilities, private health plans and other third-party payers. We also have extensive experience completing thoughtful and impartial utilization review, dispute resolution and peer reviews. Our goal is simple – to help healthcare get better!
This position is 100% remote and provides the opportunity to work virtually with team members from anywhere within the United States. We pride ourselves on providing a great work/life balance for employees, while also providing the ability to promote their career development and gain new skills through employee education opportunities. iMPROve Health offers a wonderful benefit package that includes medical, dental, vision, life insurance, short term and long-term disability, and a generous 401k match.
iMPROve Health is committed to improving the quality, safety, and efficiency of healthcare. Although we do not see patients, we are healthcare professionals (including physicians and nurses) and consultants who work with healthcare providers to promote the adoption and use of evidence-based best practices and processes to achieve our healthcare quality goals. Our services offer our clients and partners access to a proven, impartial, connected resource that understands the intricacies of healthcare. It is our #1 priority to provide thoughtful evidence-based strategies and solutions that help them achieve their healthcare quality improvement goals and outcomes.
iMPROve Health is an equal employment opportunity employer.
*Must be able to work M-F normal business hours in EST.
SUMMARY:
The Quality Improvement Program Manager leads the development, design, implementation, dissemination, and evaluation of quality improvement interventions to achieve project goals. Oversee day-to-day operations and staff.
DUTIES AND RESPONSIBILITIES:
- Manage daily operations of assigned project/contract area and staff including working with the Managing Director to establish and monitor budgets and deliverables.
- Collaborate with team to develop and revise data set questions and organize processes to ensure the validity and reliability of abstracted data.
- Work closely with analysts to ensure the integrity of the database software and timely, accurate, and meaningful reporting.
- Continuously assess, refine and update quality measure specifications and resources.
- Recruit, orient, and train staff, including training on the development of measure abstraction tools, data collection systems, quality control systems, administrative processes, reporting systems, data confidentiality requirements, and ongoing updates and competency reviews.
- Mentor, guide and provide day-to-day supervision of direct reports.
- Implement, track and monitor all reconsideration requests, record outcomes, and track trends in reconsideration requests.
- Suggest modifications to dataset questions or scoring based on recurring issues identified during the quarter and provide actionable insights for continuous improvement.
- Adhere to onboarding requirements including fingerprinting and background check.
- Actively participate in a collaborative team model to identify and implement improvement strategies.
- Serve as a task resource and provide mentoring to others.
- Comprehend and monitor all contract aspects related to assigned task(s) including deliverable schedule and metrics.
- Assume the lead on contracts and programs as assigned by the director.
- Apply quality principles knowledge, acquired clinical/technical expertise and experience to employ strategies to support attainment of project goals.
- Lead contract planning and implementation.
- Develop and monitor timeline(s) and work plan(s) relevant to assigned task(s).
- Engage with key stakeholders and serve as a point of contact.
- Identify and develop training methodologies utilizing a variety of approaches such as learning teams, job aids, eLearning modules, presentations and face to face trainings.
- Utilize a collaborative approach to deploy trainings and quality improvement interventions in accordance with the work plan.
- Develop, complete, oversee and ensure timeliness and quality of task deliverables.
- Disseminate project information to stakeholders and partners using both formal and informal methods of communication.
- Develop and follow job aids and standard operating procedures.
- Proactively identify challenges and deploy mitigation strategies.
- Demonstrate personal accountability and work ethic.
- Model accountability for self-learning activities as well as the sharing and transfer of knowledge.
- Attend and/or presents at local, state or national conferences/meetings.
- Develop external relationships and maintain customer satisfaction.
- Adhere to all relevant compliance regulations (HIPAA, FISMA, URAC, CMS).
QUALIFICATIONS:
- Bachelor’s degree in healthcare related field required. Master’s degree preferred.
- Minimum of 3 years of clinical or related health care measure data abstraction experience.
- Team leadership and/or management experience required.
- Excellent communication skills including public speaking.
- Minimum of 2 years of quality improvement experience required in a quality improvement organization or similar contract experience.
- Excellent organizational, project management and customer service skills required.
- Ability to multi task working on more than one contract/project simultaneously.
- Ability to read and interpret federal/state contracts and regulations.
- Experience with electronic documentation.
- Travel Required.
- Proficient in Microsoft Word and Excel
- Working knowledge of PowerPoint, Microsoft Access and Visio
- Health information technology experience/knowledge preferred
CERTIFICATES, LICENSES, REGISTRATION:
