Quality Improvement Manager Job Description
Quality improvement manager
provides expertise to IT and the corporate training department on STAR/HEDIS® measures and on the tools that support the collection of STAR/HEDIS® data.
Quality Improvement Manager Duties & Responsibilities
To write an effective quality improvement manager job description, begin by listing detailed duties, responsibilities and expectations. We have included quality improvement manager job description templates that you can modify and use.
Sample responsibilities for this position include:
Design study methods, tools and procedures, and sampling strategies for reliable data and statistics
Executing or overseeing the QA process to ensure that internal audit work is completed as per internal standards, policies & procedures and identifying areas of non-compliance, including documenting work performed and preparing summary reports for IAD management
Periodic reviews to improve and streamline IAD practices, methodology, guidelines, standard procedures and templates, including coordinating with Subject Matter Experts (SMEs) or acting as a SME for methodology initiatives
Develops and maintains Health Partners specific policies and procedures and works closely with the hospital to assure coordination of polices
Analyze key plan metrics, such as top diagnoses, clinical procedures, and operational performance, to enable the development of sound and valid recommendations regarding and prioritization of clinical and service improvement initiatives
Successfully oversee the calculation and reporting of the company's HEDIS/QARR metrics and deployment of customer satisfaction survey (ESS/CAHPS)
Prepare the company for its NCQA audit and make sure all necessary documentation is in place to support the NCQA accreditation process
Develop an informed workplan for complying with all quality regulatory requirements in the states where the company operates
Generate insights based on the quality data to support the design and development of programs to improve overall quality at the company and on an ongoing basis
Continue to build and develop our quality reporting function across all required reporting entities
Quality Improvement Manager Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Quality Improvement Manager
List any licenses or certifications required by the position: ISO, FEMA, 9001, PMP, QA, CPHQ, ASQ, CPR, SQF, LEAN
Education for Quality Improvement Manager
Typically a job would require a certain level of education.
Employers hiring for the quality improvement manager job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Healthcare, Nursing, Education, Public Health, Management, Business, Health, Health Administration, Engineering, Human Services
Skills for Quality Improvement Manager
Desired skills for quality improvement manager include:
Change management principles
Methodologies and tools
Microsoft Office applications
Excel and Access
HEDIS/NCQA data integration and software and medical record abstraction
HEDIS/Stars and CMS quality
Microsoft Office
Oracle
Oregon Administrative Rules
Procedures
Desired experience for quality improvement manager includes:
Drive the development of innovative quality monitoring systems to help us surface important areas for additional work
Work and coordinate best practice initiatives and efficiency across multi lines of business, which include Medicaid, Medicare and potentially Commercial in the future
The associate will assist in the development, coordination and strategic development of initiatives that will help improve quality metrics for the market
The associate will attend all Medicaid meetings and serve as a backup for the Director of Performance Improvement as strategic meetings today many times conflict or overlap
The associate will coordinate and track initiatives that need to get off the ground and implemented
Conduct reviews of QI reports to maximize QAAR visits and incentive payments
Quality Improvement Manager Examples
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Quality Improvement Manager Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of quality improvement manager. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for quality improvement manager
- Reviewing and abstracting clinical data for regulatory data submission
- Identification and communication of trends and patterns in data that will facilitate improvement
- Supports the clinical quality initiatives of Health Partners
- Maintains appropriate awareness with JCAHO standards
- Coordinates and maintains records of any Health Partners specific training needed for all staff
- Coordinates the integration of Health Partners into the hospital-wide quality initiatives
- Acts as internal consultant to Health Partners regarding regulatory compliance issues and quality improvement processes
- Participates in clinical best practice initiative(s)
- Leads Health Partners in accomplishing the corporate clinical accountabilities identified by the organization
- Design, recommend, implement, and assist in the orientation programs of the Physician practice
Qualifications for quality improvement manager
- Prior experience with implementing new processes/departments
- Detail oriented with strong organizational skills, strong technical skills, good judgment, problem solving skills and decision making abilities
- Bachelor’s degree in a relevant area such as Business, Computer Science, or related field, or an equivalent combination of education and experience
- 5+ years of previous experience in reporting or data informatics required
- Strong organization skills to include project management skills, ability to prioritize and effectively manage multiple engagements while leading a team to meet organizational goals and strategic intents
- Experience leading a reporting team with knowledge and skills to include the ability to identify and gather business requirements for report creation
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Quality Improvement Manager Job Description
Job Description Example
Our growing company is looking to fill the role of quality improvement manager. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for quality improvement manager
- Coordinate the development programs and use of patient education material
- Meet as needed with Vice President of Physician Services to update and inform them of any developments and receive instruction
- Complete special tasks assigned by Vice President of Physician Services
- Display a courteous and caring attitude and represents the organization in a positive manner to patients, visitors and co-workers at all times
- Adhere to the FHHMC Compliance Plan as prescribed by the federal department of Health and Human Services (HHS)
- Assists in the evaluation of personnel in skill training and orientation programs and makes appropriate recommendations
- Investigates other methodologies for instructional purposes (i.e., interactive software)
- Coordinates the implementation of baseline performance expectations, aligning these with hospital-wide standards wherever appropriate
- Acts as a preceptor for new staff when necessary
- Coordinates the implementation of baseline performance expectations for both initial and annual performance evaluation(s)
Qualifications for quality improvement manager
- Crystal Reports, Qlikview and other querying tools
- Provide education support to staff in the performance of competency reviews and performing competency reviews as necessary
- Minimum of five (5) years in medical office experience (Preferred)
- Develops, coordinates and/or provides safety training for personnel related to the EOC including fire prevention, emergency planning, hazardous materials handling, utilities systems
- Directs the development of and the on-going participation of personnel in a hospital response Decontamination Team
- Bachelor’s degree in a healthcare or technical field from an accredited four-year degree program (preferred)
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Quality Improvement Manager Job Description
Job Description Example
Our company is growing rapidly and is looking to fill the role of quality improvement manager. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for quality improvement manager
- Analyze and trend HEDIS/STAR rates, identify barriers to improvement of rates based on HEDIS supplemental submission requirements via enterprise data systems and team work processes
- Provide consultancy services to Resort Operations, General Managers and Hotel Management on attaining higher levels of process quality to drive business performance and building “Great Hotels Guest Love”
- Organize, manage, and execute all systems that support the quality and process improvement measures required for Harborview’s multidisciplinary approach to care of trauma patients
- Meet quality and process improvement program requirements for maintenance of designation
- Accurately describe our quality improvement processes for monitoring care and assist with preparing trauma registry staff for this review
- Under the direction of the Chief of Trauma and the Director of the Trauma Program, assist with the identification of areas of high risk or practice variability and work with multidisciplinary teams to develop processes to monitor and evaluate standards and protocols used to guide care
- In concert with the Chief of Trauma and the Director of the Trauma Program, communicate to care team members any instances of deviation or care that are missed and must be corrected, and assist in ongoing re-evaluation and follow-up on identified opportunities for improvement, including monthly presentations to the multidisciplinary Trauma Council
- Conduct personal screening of subsets of the trauma population, utilizing electronic tools developed by programmers in our QI department based on parameters the department describes, to identify patients at high risk and allow targeted analysis of care
- Assist the Director of the Trauma Program with the development, management, review, and updating of these protocols
- Serve as a resource to the Chief of Trauma and the Director of the program regarding trauma data collection and submission
Qualifications for quality improvement manager
- Previous experience working with PLSQL & SAS a plus
- QMP
- Business Strategy and Plans
- Raw Materials Management
- Problem Solving Methodology (Six Sigma Preferred)
- PC/Mainframe Computer Skills
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Quality Improvement Manager Job Description
Job Description Example
Our company is growing rapidly and is looking for a quality improvement manager. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for quality improvement manager
- Responsible for database management for the NSTI program and assisting with Extra-Corporeal Life Support Organization (ELSO) data as needed
- Serve as a resource to the Chief of Trauma and the Director of the program regarding ELSO database management and data submissions and data for ELSO program quality and process monitoring
- Leads improvement initiatives for the Belgium QA organization in line with the overall Quality strategy and Quality plan the business imperatives
- Act entrepreneurially on matters related to CI
- Plan, lead & execute actions aligned to AFP strategic objectives
- Take the CI process to new heights
- Works with senior leadership to develop continuous improvement strategies linked to key business strategies and objectives
- Works with all functions (Clinical, Finance, Design, Manufacturing, Marketing, Program Management, Regulatory, R&D, and Quality Engineering) to drive CI projects beyond Sustaining Engineering and New Product Development improving functional work processes
- Establishes tracking mechanisms (metrics) that record measurable results of CI in terms of process efficiency, customer satisfaction, financial and non-financial benefits, and transfers those mechanisms to the functions
- Benchmarks internal and external organizations
Qualifications for quality improvement manager
- CI Concepts and Principles
- Experience in quality improvements and outcomes
- Strong interpsersonal skills and good diplomacy
- Bachelor’s degree in science- or engineering-related field
- Certified Lean Expert/TPS based
- 4-5 years of Trauma program quality management experience in a level 1 or 2 trauma center
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Quality Improvement Manager Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of quality improvement manager. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for quality improvement manager
- Collaborates with a network of CI leaders that will support the deployment and anchoring of CI capabilities across the functions and sites
- Engage with (or may lead) quality networks the business unit and associates toward the effective promotion and alignment of organizational goals to the company’s mission and vision
- Contribute to development of local and/or global strategies
- Often serves on Leadership Teams such as Extended Quality LT
- Drive Continuous Improvement (TQM) framework to facilitate and focus on process improvement in order to drive Guest Satisfaction
- Analyze and communicate guest satisfaction, guest feedback, mystery shopper reports, telephone test call, events surveys and internal/external quality review results and trends
- Performs calendared site visits in each facility on a quarterly basis
- Leading and facilitating initiatives to monitor and improve the quality and effectiveness of Developmental Disabilities services within the state
- Develops and communicates strategic vision, scope, and mission of the Quality Improvement team
- Interact with individuals served by ODDS including family members, providers, and representatives of stakeholder groups
Qualifications for quality improvement manager
- Degree in Nursing preferred
- Master’s degree in Nursing, Health Administration, Public Health or related area preferred
- Competence for applying problem solving frameworks such as 6 sigma, DMAIC, PDCA Cycle
- A good understanding of end-to-end supply chain processes including material planning, warehouse operations, sales and operations planning (S&OP)
- Ability to manage a team based on objectives and key performance indicators
- A well-organized attitude to work and excellent cooperation skills with initiative and flexibility