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Director Of Quality Management

Posted By:
Ashleigh Caplan
Posting ID:
Metropolitan New York Area
Category:Medical / Health
Listing Type:Job

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Seeking a Leadership-Driven Director of Quality Management. Apply today!

Our client is a pre-paid healthcare services plan comprised of a network of government-sponsored healthcare agencies and programs, as well as participating providers, serving New York City and surrounding metropolitan areas. With an expansive and all-inclusive community of general and specialty healthcare providers, just about everyone who qualifies for government-sponsored healthcare can gain access to the vast array of low- to no-cost services offered. Currently, the organization seeks a driven professional who is ready to take that all-important next step in his or her career.

Director of Quality Management
Metropolitan New York Area
The Director of Quality Management drives the continued development and direction of the Quality Management Plan and the annual work plan, in tandem with the Quality Management Committee. This position spearheads adverse outcomes and targeted diagnoses, preventive healthcare and medical record audits, medical care evaluation studies and focused studies, quality-related complaints, ancillary provider assessment, regulatory reviews compliance, and clinical guidelines and standards. Importantly, the Director performs an annual evaluation of the QM Program, and develops a new annual work plan, accordingly.
Qualified candidates will hold a Master’s degree with specialization in Hospital Administration, Healthcare Administration, Administrative Medicine or Public Health from an accredited college or university. Resumes should include six or more years as Director of a QM department in the Managed Care environment. Strong experience in HEDIS and Medicare STARs, and a solid management background will showcase direct results of their interventions in a QM capacity. Candidates should be highly analytical, and possess thorough knowledge of the fundamentals of hospital organizations, business and human resources administration principles, and management functions and processes within a hospital setting, along with ability to direct and supervise personnel. Excellent written and verbal communication skills, and knowledge of managed care information systems are highly preferred. Registered Nurse licensure or a medical degree would be beneficial, as would clinical or managerial experience. A Directorship or an Associate Directorship of a Managed Care organization’s Quality Management program would be ideal. NCQA or JCAHO accreditation experience is preferred, but not required.
Working with my client, you’ll be rewarded with generous employee benefits, including full state benefits, a 401(k) plan, a pension plan, and 11 to 12 paid holidays per year. Candidates who are driven to significantly impact the success of an organization are highly sought.
Advance your career with a health services health story! Send your resume and letter of interest for immediate consideration. Be sure to specify “Director of Quality Management – 36909A” in the subject line.
Our Client is an Equal Opportunity Employer.
RCI Recruitment Solutions is a privately owned firm headquartered in Jupiter, Florida, with operations throughout the United States. For almost 40 years, RCI has provided a wide range of candidate sourcing and related recruitment services. Its proprietary and client-specific solutions encompass a variety of services, including advertising, consulting, media services, and staffing technology.

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