Quality Improvement Manager Resume Samples

The Guide To Resume Tailoring

Guide the recruiter to the conclusion that you are the best candidate for the quality improvement manager job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

Craft your perfect resume by picking job responsibilities written by professional recruiters

Pick from the thousands of curated job responsibilities used by the leading companies

Tailor your resume & cover letter with wording that best fits for each job you apply

Resume Builder

Create a Resume in Minutes with Professional Resume Templates

CHOOSE THE BEST TEMPLATE - Choose from 15 Leading Templates. No need to think about design details.

USE PRE-WRITTEN BULLET POINTS - Select from thousands of pre-written bullet points.

SAVE YOUR DOCUMENTS IN PDF FILES - Instantly download in PDF format or share a custom link.

Create a Resume in Minutes

L Ledner

Ludie

Ledner

8541 Moore Port

Chicago

+1 (555) 478 4297

8541 Moore Port

Chicago

Phone

p +1 (555) 478 4297

Experience Experience

Houston, TX

Quality Improvement Manager

Houston, TX

Fritsch-Doyle

Houston, TX

Quality Improvement Manager

Participates in the Quality Improvement process and activities including the areas of Safety, Infection Control, Patient Education/Teaching, Documentation, and Adherence to guidelines for Cleaning/Decontamination, Sterilization of Instruments and Supplies, Patient Satisfaction, Physician Satisfaction, Compliance with OSHA and other Regulatory Standards
Coordinates project activities, including administrative tasks – scheduling webinars, sending reminders, cataloging data from teams/sites; meeting notes; meeting agenda
O Managing all Quality Improvement grant activities, including the onboarding of providers, approval of grant applications, disbursement of grant funds and/or purchase of Quality Improvement materials and curriculum on behalf of approved providers, and oversight over compliance and administration activities
Provides overall management for the implementation of the quality improvement program and initiatives
Provides a planned, systematic, organization-wide approach to identifying, designing, measuring, prioritizing and monitoring all quality improvement activities, including new processes and services
Performs calendared site visits in each facility on a quarterly basis. Visits include but are not limited to mock surveys, evaluation of quality program, providing clinical updates and monitoring of facility processes to prevent outcomes
This role participates in identifying and collecting metrics, data analysis and reporting information from the data collected. Analyzes data for patterns and trends in care delivery; works on discovering root causes for specific patient care trends

New York, NY

Quality Improvement Manager RN

New York, NY

Swift and Sons

New York, NY

Quality Improvement Manager RN

Provides leadership and support in establishing the Quality Performance Initiatives at the market level
Analyze and trend HEDIS/STAR rates, identify barriers to improvement of rates and creating interpretive exhibits
Conduct training on HEDIS/STAR measures, HEDIS/STAR data collection software and data collection strategies
Provides expertise to the training department on STAR/HEDIS measures and on the tools that support the collection of STAR/HEDIS data
Participate in NCQA HEDIS or Health Plan audits
Collaborates with physicians to execute the implementation of the clinical quality initiatives as defined by enterprise
Work with IT on the interpretation of technical specifications and impact of HEDIS/STAR Measures to the data collection tools and reports utilized for the support of HEDIS/STAR measures

present

Detroit, MI

Quality Improvement Manager Swhp

Detroit, MI

Kautzer and Sons

present

Detroit, MI

Quality Improvement Manager Swhp

present

Ensure that SWHP is collecting all necessary HEDIS administrative data. Ensure that all data is collected accurately and timely during HEDIS hybrid review
Support and assist in the development and drafting of policies and procedures that meet the standards/criteria of accrediting and review organizations
Supports the thorough orientation of new SWHP staff by providing education on the SWHP QI Program in a clear and professional manner
Serve as liaison between SWHP IT Department and the QI department to ensure that timely, accurate, and complete data is obtained for any reporting
Actively monitor and support the accomplishments of assigned reporting staffs QI goals and objectives
Delegate and assist QI Coordinators with development of QI studies
Annually evaluate the QI Program and QI Work Plan to make recommendations to the QI/Clinical Analytics Director for updating and modifying the program in order to maximize its effectiveness for SWHP

Education Education

Bachelor’s Degree in Nursing

Strayer University

Bachelor’s Degree in Nursing

Skills Skills

Strong attention to detail
Quality methods and tools knowledge
Strong interpersonal skills, good communicator
Working knowledge of Quality Management, PI, Risk Management, and Joint Commission Standards,
Ability to effectively present information and respond to questions from groups including mid-level management
Strong project management and coordination skills
Solid analytical skills
Great interpersonal skills
Excellent communication skills (written and verbal)
Microsoft Office/Suite proficient (Word, Excel, etc.)

Create a Resume in Minutes

15 Quality Improvement Manager resume templates

Read our complete resume writing guides

Quality Improvement Manager Resume Examples & Samples

Experience with quality reporting (e.g. prior experience in HEDIS/QARR, NCQA)
Experience overseeing large projects that require strong organizational skills, document management, and interacting with a broad array of different teams within an organization
Previous experience interacting with auditing agencies or regulatory entities
Microsoft Office/Suite (Excel, Word, etc.), Google Docs, and Google Sheets proficient
Strong project management and coordination skills
Experience in a Insurance or a professional service environment

Quality Improvement Manager Resume Examples & Samples

Bachelor’s Degree in Healthcare, Nursing, or Business and/or work equivalent experience
Previous experience working in quality improvements in the healthcare industry
Progressive experience in the health solutions industry, with emphasis on leading and managing teams
Proficiency in analyzing and interpreting healthcare data and trends
Master’s Degree in Business Administration or a related field
Previous clinical and health plan operations experience
Provider relations experience
Prior Medicare and Medicaid experience
Knowledge of HEDIS/Stars and CMS quality
Proven organizational and prioritizations skills and ability to collaborate with multiple departments
Comfortable with tight deadlines in fast paced and changing environment

Quality Improvement Manager, Medicare / Hedis Resume Examples & Samples

Oversee day to day operations and human capital for a defined operational area
Achieve performance metrics for a fast paced clinical environment
Assure compliance with mandated and corporate policies regarding other departmental areas such as medical management, utilization management and case management
Develop team members and creating department process flows
Provide strategic guidance toward process improvements
RN with strong clinical background
Experience identifying quality indicators and integrating process improvements
Progressive experience in the health solutions industry, with emphasis with leading and managing teams
Proficiency in analyzing and interpreting financial trends
Comprehensive knowledge of Microsoft Office applications
BSN or advanced degree
HEDIS
Medicare
Utilization Management

Quality Improvement Manager Resume Examples & Samples

Nursing License; RN. May have clinical knowledge, health plan and quality experience in lieu of RN license
Bachelor’s Degree in Business, Finance, healthcare or a related field
Progressive experience in the health solutions industry
Knowledge of Quality and Health Plan HEDIS metrics
Project Management and/or strategic management experience

Quality Improvement Manager Resume Examples & Samples

1+ year of Quality experience
FL Registered Nurse (RN)
Working knowledge of Quality Management, PI, Risk Management, and Joint Commission Standards,
CPHQ certification

Quality Assurance & Quality Improvement Manager Resume Examples & Samples

Provides technical expertise and support to oversee the design, development and implementation of studies performed by the External Quality Review Organization (EQRO)
Gives technical expertise and support to Medicaid‘s Adult Quality Measurement Project and the SIM Project
Provides expert technical assistance and support in the oversight and monitoring of the Managed Care Performance Goal Program, including the Accountable Entities who are contracted with the MCOs
Evaluates Managed Care plans’ and the Accountable Entities’ performance in achieving specific access, quality, health outcome, customer service and other key performance indicators
Provides support to the creation and ongoing operation of the State’s Integrated Health Homes
Provides technical assistance on quality metrics for the State’s Health Services Transformation Program, a multiyear Medicaid initiative to achieve meaningful payment reform, along with key healthcare workforce development objectives
Oversees the work of the Compliance liaison to Medicaid’s Office of Program Integrity, who also facilitates coordination of all program integrity activities between EOHHS and the MCOs
Minimum 3-5 years’ experience in the health care industry related to quality improvement programs
Strong analytic, program design and writing skills
Master’s Degree in Health Care or a related field

European Quality Improvement Manager Resume Examples & Samples

Implement and follow 1 x a year the dosing capability audit to include x contamination and mixing (homoginity) steps (with support from formulation and global QFS)
Create a strong action plan and follow at 3 and 6 months via skype or TC
Create formal regional ‘best practices’ through the conclusion of investigation/ CI projects or sharing with plants on good practices. Share and validate with interfaces and other regions
Create, deliver, follow and improve operator specific training on this topic (1 to 1 and e learning)
Ensure relevant standards are maintained – High Risk Chemical Ingredient
5+ years in Operational QFS role

RN Quality Improvement Manager Resume Examples & Samples

Provides leadership and support in establishing the Quality Performance Initiatives at the corporate level
Collaborates with physicians and support staff to execute the implementation of the clinical quality initiatives as defined by the enterprise
Provides expertise to the corporate training department on STAR/HEDIS measures and on the tools that support the collection of STAR/HEDIS data
Work with IT on the interpretation of technical specifications and impact of HEDIS/STAR Measures related to data collection applications and reports utilized for the support of HEDIS/STAR measures
Work with internal market teams and external vendors on data transmission issues
Monitor and analyze large volume of electronic submissions for possible data deficit issues. Utilize internal audit tracking tools for review and validation of data integrity
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 process improvement strategies to enterprise leadership for improving data capture and outcomes
Update QI Project templates, staff training materials, and Work Plans with assigned responsibilities
Attend and participate in all QI related meetings
Unrestricted Nursing License in Texas or Florida
Five or more years of healthcare experience to include experience in a managed care setting
Three or more years of experience with data analysis
Proven capability to work with people at all levels in an organization
Demonstrated effective organizational skills
Strong attention to detail and accuracy, excellent Evaluative and Analytical skills
Advanced Experience using Microsoft office applications, including but not limited to databases, word-processing, spreadsheets, and graphical displays
BSN degree or related field
Three or more years of process management experience
Healthcare Quality Improvement experience
CPHQ Certification
CHCQM Certification

Quality Improvement Manager Resume Examples & Samples

Provides overall management for the implementation of the quality improvement program and initiatives
Manage the day to day needs of the Quality Improvement Program, identifying gaps and developing solutions to remediate those gaps
Analyzes and evaluates the effectiveness of project activities for results and outcomes related to strategic goals
Ensure that the QI Program for plans with accreditation meet and maintain required standards
Provides a planned, systematic, organization-wide approach to identifying, designing, measuring, prioritizing and monitoring all quality improvement activities, including new processes and services
Responsible for overseeing the required annual CAHPS and HOS surveys as well as develop and implement quality improvement activities focused on improving these scores
Manages the potential quality of care grievance resolution process
Ensures that all plans are in compliance with annual quality improvement goals and objectives and performance review requirements
Manages the collection and monitoring of quality metrics across departments
Develops, revises and maintains all policies and procedures related to the Quality Improvement Department activities
Assist in the development of the annual program description and work plan as well as the annual program evaluation process
Implements and assures the chronic care improvement projects (CCIPs) and quality improvement projects (QIPs) are effective and compliant with CMS regulation including using the PDSA technique
He/she will play a key role in implementing the organization’s strategy to improve Medicare Star Ratings
Develop, implement and engage providers with education and strategies that impact STAR Ratings. Visits physician offices to strengthen and/or improve communication and relationships
Develop and implement health and wellness programs geared towards members that will impact their overall health outcomes
Project management of quality improvement initiatives and activities to improve Star ratings as well as overall population health
This role participates in identifying and collecting metrics, data analysis and reporting information from the data collected. Analyzes data for patterns and trends in care delivery; works on discovering root causes for specific patient care trends
Promotes good interpersonal relations and teamwork among staff and serves as a mentor for staff reporting to him/her
Responds appropriately to questions and concerns in a professional manner
Supports the VP in Quality Improvement Committee related meetings and activities
Works collaboratively and promotes positive relations with Delegates, Vendors, External Stakeholders, and other Departments and Committees as assigned
Communicates effectively to facilitate positive working relationships and achieve desired outcomes
Identify opportunities for program improvements and manages such improvements to achieve improved quality performance
Establish and maintain open communication and professional working relationships with regulatory and accreditation bodies to ensure compliance with all applicable standards. Communicate new state, federal and third party regulations and requirements within the department
Demonstrates leadership, professionalism, problem solving skills, and serves as a professional role model
Work in coordination with multiple departments including: IT, Network Operations, Marketing, Provider Relations, Pharmacy, Appeals & Grievances, Customer Service and Market Leadership
Participates in committees and sub-committees as requested by the VP
Must be self-motivated and able to work in a matrix environment
Assists the VP in annual budget preparation
MHA or other Masters Degree or equivalent in nursing, business, public health, or a related field and progressive management experience, or an equivalent combination of education and experience required; Bachelor’s Degree required
3 to 5 years of management experience required. Previous managed care or Medicare experience
Experience in quality improvement in a managed care setting; Quality Improvement experience - minimum 5 years.· Experience with HEDIS and other data driven quality improvement projects
· Knowledgeable on regulatory and accreditation standards related to quality and risk-related activities, i.e. PQOC investigations
Ability to develop trended reports with analysis and develop appropriate action plans for submission to Quality Committees
Working knowledge of NCQA, HEDIS, CMS regulations, Health plan Operations, Risk Adjustment and Health Insurance Exchange
Experience as a leader in complex or system-wide project management required
Knowledge of emerging technologies and strategies for optimizing ICD-9/ICD-10 coding and reimbursement in Medicare and the Healthcare Exchange
Demonstrated ability to manage complex projects; Ability to comprehend technical documents and programs
Knowledge of common statistical programs, spreadsheet and database management, and word processing
Must have the patience, self-confidence and communication skills necessary to work with the clinical and administrative staff and the provider community
Must demonstrate self direction and be able to manage multiple priorities
A hands-on manager who can develop a strategic vision of the department and has the expertise to develop values and goals across the staff
Needs appropriate sense of urgency to react to situations quickly and decisively
Flexible with the ability to shift priorities and problem solve on short notice

Quality Improvement Manager Resume Examples & Samples

Provide oversight of quality improvement programs within the statewide managed care and fee-for-service AHCCCS programs
Provide leadership and support to ensure the development of a fully integrated Clinical Quality Management Unit within the Division of Health Care Management
Responsible for developing and writing reports based on research, data analysis and outcomes measurement (many such reports are publicly reported in addition to meeting federal and state reporting requirements)
Receive and respond to regulatory requests for data such as those from State Boards, Governor’s Office, legislators/Legislature, CMS, CDC, etc
Provide technical assistance to Contractors and FFS providers, as appropriate, regarding contractual and/or policy requirements, accurately and consistently to improve compliance with AHCCCS requirements and improve quality of care and services to AHCCCS members
Participate and lead in the management of EPSDT, MCH, quality management and quality improvement oversight and monitoring of staff, Contractors and external stakeholders to ensure that state and federal requirements are met
Develop/select HEDIS, HEDIS-like, CMS Core and other CMS measure sets and other AHCCCS Performance Measures to evaluate access to, availability of, and quality of care related to all AHCCCS populations
Strong knowledge of clinical and non-clinical aspect of care, service evaluation protocals, utilization review protocols as related to all populations including Maternal and Child Health services, preventive health, EPSDT, Acute, LTC, chronic long-term elderly and physically disabled, developmentally disabled, behavioral health and Tribal
Extensive background and knowledge of quality improvement principles and accreditation bodies’ review processes (NCQA, JC, URAC, HEDIS, CMS Core Measures)
Excellent written and communications skills; ability to lead and or/facilitate a team of professionals from within and/or outside the agency; conflict resolution; project management to meet goals and deadlines
Strong working knowledge of State and Federal policies governing Title XIX, Title XXI, Managed Care, LTC duals, SMI, special health care needs and Tribal
Strong interpersonal skills in order to effectively relate to AHCCCS members and their families, multi-disciplinary professions, and Contractor representatives
Certified Professional in Health Care Quality
Master’s Degree in health related field
At least two-three years’ experience working in a managed care environment, preferably in a Medicaid program
Quality Improvement experience

Quality Improvement Manager Resume Examples & Samples

Develops and implements software/systems testing standards and procedures, and coordinates testing
Working knowledge of Selenium and Java based tools required
Reviews and evaluates software products and systems to ensure adherence to company and customer quality standards
Documents and analyzes test results, and makes recommendations to improve overall quality
Implements corrective actions and quality improvement plans
Drives process improvement within program teams and customer interfaces
Provides guidance and work leadership to other Quality Assurance personnel
Coordinates quality related training
Familiarity with Oracle required
5-8 years of IT related quality assurance experience
Information Technology Infrastructure Library (ITIL) Foundation and Capability Maturity Model Integration(CMMI) practices/appraisal experience an advantage
Experience in using a variety of industry best practice software tools preferred

Quality Improvement Manager Resume Examples & Samples

*Orlando, FL ( can live in Treasure Coast or Jacksonville) - Howell Branch office Will travel between market***
Provides leadership and support in establishing the Quality Performance Initiatives at the market level
Collaborates with physicians to execute the implementation of the clinical quality initiatives as defined by enterprise
Provides expertise to the training department on STAR/HEDIS measures and on the tools that support the collection of STAR/HEDIS data
Work with IT on the interpretation of technical specifications and impact of HEDIS/STAR Measures to the data collection tools and reports utilized for the support of HEDIS/STAR measures
Conduct training on HEDIS/STAR measures, HEDIS/STAR data collection software and data collection strategies
Participate in NCQA HEDIS or Health Plan audits
Work with external vendors on data transmission issues
Analyze data for possible data integrity and data deficits
Analyze and trend HEDIS/STAR rates, identify barriers to improvement of rates and creating interpretive exhibits
Update QI Project templates and Work plan with assigned responsibilities
Attend and participate in all QI meetings
Unrestricted Nursing License in Florida
A minimum of 3-5 years management experience
Registered Nurse with Undergraduate degree or equivalent experience
Prior HEDIS/STAR experience or participation with regulatory reporting
Five or more years of healthcare experience to include experience in a managed care setting
Three or more years of experience with data analysis
Must have a basic understanding of quality improvement standards such as NCQA, HEDIS, CAHPS, HOS and CMS
Proven capability to work with people at all levels in an organization
Excellent training and presentation skills with solid communication capabilities and practices, both oral and written
Demonstrated effective organizational skills
Excellent communication, writing, proofreading and grammar skills
Strong attention to detail and accuracy, excellent Evaluative and Analytical skills
Strong teamwork, interpersonal, verbal, written, and administrative and customer service skills
Advanced Experience using Microsoft office applications, including but not limited to databases, word-processing, spreadsheets, and graphical displays
 BSN degree or related field
 Three or more years of process management experience
 Healthcare Quality Improvement experience
 CPHQ Certification
 CHCQM Certification

Quality Improvement Manager Resume Examples & Samples

Preferred: Three to five years of experience in quality and analytical roles with pertinent experience related to healthcare quality improvement within a hospital setting
Demonstrated ability to facilitate teams across disciplines with provision of clear data display and analysis
Experience in leading and influencing organizational change with a diverse set of stakeholders (physicians, nurses, management, staff, etc.)
Evidence of progressive leadership experience
Preferred: Personnel management experience

Quality Improvement Manager Resume Examples & Samples

Manages day-to-day quality activities ensuring program and procedures support company goals for service, quality, and cost effectiveness as well as compliance with contract, federal and state requirements and ensures compliance with accreditation standards
Prepares and provides to the Department an annual quality management program evaluation that summarizes the ASO’s and Providers’ performance for the year
Develops and maintains a mechanism for accepting Recipient feedback and utilize that feedback to improve the quality of services being provided by the ASO, Providers and Department
Interfaces with the Department on quality programs, including participating in the Department’s QMI activities as requested
Trains on CQI processes
Develops and maintains a mechanism for accepting feedback and utilizes that feedback from Providers and MaineCare Members to improve the quality of services being provided by the ASO, the Providers and Department. Ensures the Member Advisory Council meets at least quarterly
Tracks adverse incidents and Quality of Care concerns; monitors performance measures
Completes quality studies and quality improvement projects
Prepares Department and site reports with assistance from Reporting and Analytics team
Participates on quality committees to ensure quality issues are taken to the committee and recommendations are made, by the committee, in a timely manner. Makes recommendations to the Committee for improving plan operations based on data from performance indicators, QI studies, and quality activities
Conducts internal audits of charts and clinical/service procedures for quality purposes
5+ years of healthcare quality improvement experience required.Must demonstrate a high level of motivation and willingness to cross-train in all aspects of the department

Quality Improvement Manager Resume Examples & Samples

Have a master's degree or similar within a relevant engineering discipline
Have extensive experience within quality improvement management leading your own projects with documented success
Have formal training as a Six Sigma Black Belt or higher (with expertise in Minitab)
Hands on experience on Six Sigma tools and techniques (MSA, hypothesis testing, DOE, etc)

Quality Improvement Manager Resume Examples & Samples

Act as change agent to drive continuous improvement of production and service processes to improve quality and increase efficiency and cost savings, which includes root cause analysis and problem solving
Develop and implement product quality plans and procedures by overseeing gauge requirements, frequency, responsibility and methods to ensure compliance to process and product specifications
Direct activities, duties, and projects of CI personnel
Implement practices and controls to drive an effective supplier management system
Serve as customer contact for quality issues
New business transition management
Oversee Continuous Improvement website for local plant; manage document control system
Manage customer specification system
Manage Customer Feedback / Complaint System
Perform other duties as assigned by manager
Bachelor’s degree in Business Administration, Engineering or related field
3 - 5 years experience in quality, manufacturing or equivalent combination of education and experience
Prior management or supervisory experience
Working knowledge of Statistical Process Control Theory
General knowledge of printing and converting knowledge preferred

Quality Improvement Manager Resume Examples & Samples

Performs calendared site visits in each facility on a quarterly basis. Visits include but are not limited to mock surveys, evaluation of quality program, providing clinical updates and monitoring of facility processes to prevent outcomes
Acts as a liaison between staff, management and the SCA Group Director by channeling suggestions, remarks and ideas toward a problem-solving process
Coordinates and directs regional quality and infection control meetings
Assists with review, trending and analysis of quality/risk metrics for the region
Oversees regional quality improvement studies and initiatives/studies
Promotes transparency in reporting and a culture of safety through communication and training
Participates in the Quality Improvement process and activities including the areas of Safety, Infection Control, Patient Education/Teaching, Documentation, and Adherence to guidelines for Cleaning/Decontamination, Sterilization of Instruments and Supplies, Patient Satisfaction, Physician Satisfaction, Compliance with OSHA and other Regulatory Standards
Promotes and provides evidence based practices to facilities utilizing research and nationally recognized guidelines
Assist with training/onboarding new clinical leaders in the market, including but not limited to DON and quality roles
Assist with new facility/de novo onboarding
Extensive knowledge and the ability to interpret and implement CMS, AAAHC, TJC and other regulatory guidelines
Must be a Registered Nurse with minimum of 2 years in a Risk Management/Quality Role at a hospital or surgery center
Preferred certifications CPHQ, LHRM and CIC
Perioperative experience in an ambulatory surgery environment

HIM Quality Improvement Manager Resume Examples & Samples

BSN, BA or BS in Health Information Management or related field required; master’s degree is preferred
At least 6 years of clinical experience overall, with at least 3 of those years of experience being in Clinical Documentation Improvement
Working knowledge of Medicare reimbursement system and coding structures preferred
ICU, CCU, or CT ICU experience is a plus
High level of creativity, judgment, and initiative, tempered with flexibility to deal with a rapidly changing healthcare environment and expanding technology
Proven leadership, communication, organizational skills, team-building and critical thinking skills
Successful experience in working both independently and in teams
Demonstrated ability to establish positive working relationships, effectively manage competing priorities, and accurately complete highly detailed work
Experience with hospital computer systems, coding software and Microsoft applications
PA license RN required; RHIA, RHIT or CCS preferred, CPC a plus; CCDS or CDIP a plus

Quality Improvement Manager Resume Examples & Samples

Preferred Certified Professional in Healthcare Quality (CPHQ) or other related healthcare certification
Minimum of six (6) years of Quality Improvement Experience is required. Experience in a healthcare or managed care related field is preferred. Two (2) years of progressively responsible management experience is preferred
Must be proficient in Microsoft Office Suite, including but not limited to Outlook, Word, Excel, Access, and Power Point. Knowledge of SQL, Oracle, and/or relational databases highly preferred. Proficiency testing may be required at the request of the SWHP Director of Quality and Clinical Analytics
Must be highly skilled in analytical reasoning, interpreting and evaluating complex information and have the ability to work in a fast paced, deadline driven environment
6 Years Experience Required

Quality Improvement Manager Resume Examples & Samples

2+ years in Instructional Design strongly desired
3+ years of Corporate Operations or Similar Environment required
Outstanding verbal and written communication
Ability to work under pressure, dealing with ambiguity and managing deadlines
Strong analytical, communication, and organizational skills required
Understanding of the interdependencies of business improvement teams and matrix partners required
Group Insurance/Voluntary product experience preferred

Senior Laboratory & Quality Improvement Manager Resume Examples & Samples

Clearly communicate approved policies and procedures and assist in the training and development of field staff and MOH staff
Promote and support implementation of lab harmonization, quality assurance, and quantification efforts
Responsible for providing technical assistance to build country capacity to ensure access to quality laboratory commodities, and specifically, to support HIV/AIDS care and treatment, with a special emphasis on viral load scale-up
Collect information on innovations, best practices, and positive outcomes in laboratory logistics systems strengthening and contribute to or write reports, articles and technical documents and may/will participate in laboratory technical working group meeting
Support the Ministry of Health in improving national supply chain for the management of laboratory reagents and consumables including the design, operation, monitoring and evaluation of such supply chains as related to the forecasting and quantification, supply planning, product selection, storage, distribution, and maintenance and QA related to laboratory commodities
Collaboratively develop laboratory supply chain standards and methodologies
A Master’s degree in laboratory science, health management or relevant field with a minimum of 10 years of implementing partner or donor experience. USAID will also consider a Bachelor’s degree in laboratory science, health management or relevant field with a minimum of 15 years of health project management experience
At least 3 years’ prior experience in developing and implementing laboratory program initiatives, laboratory strategic planning, laboratory accreditation programs, quality management systems, referral systems, supply chain management systems, and use of electronic laboratory information systems
Previous experience in laboratory logistics and supply chain management
Past exposure and experience in implementing laboratory information systems
Demonstrated ability to effectively train and build capacity of local partners, district staff and laboratory staff
At least 2 years of supervisory experience
Training and experience in Quality Management/Quality Improvement and the development of QI tools; preferably related to HIV/AIDS and TB interventions, or otherwise the capacity and motivation to acquire an in-depth knowledge of this field in a short time
Experience in data management, QI tool development and development and facilitation of training
Proven proficiency with QI tool development and use at field and reporting levels using data management programs
Experience in analysis and use of data for decision-making
Demonstrated ability to work with stakeholders including ministries of health, local health staff, and local officials to implement improvements in health care
Possesses excellent communication and coordination skills

Regional Business & Quality Improvement Manager Resume Examples & Samples

Written and spoken Spanish and English
At least 3-5 years progressive experience in quality, Supply Chain Management or equivalent area
Proven project management knowledge
Leadership and proven ability to work in cross-functional team and international environment
Ability to lead cross-functionally and influence without authority
Analytical skills with experience of operational processes continuous improvement through application of Six Sigma or other proven quality tools and methodologies
Project management skills: demonstrated success managing project even in complex situations
Ability to work in a cross functional/matrix teams
Flexibility to travel (50% of time) through the region for site visits, branch visits and key meetings attendance
Strong and effective communication skills and a demonstrated ability to lead and sponsor change
Ability to write reports, business correspondence, and procedure manuals
Ability to effectively present information and respond to questions from all levels of employees including senior management, customers, contractors, etc. both oral and written
Ability to effectively evaluate business performance and identify initiatives to drive improvement

Quality Improvement Manager RN Resume Examples & Samples

*Orlando, FL ( can live in Treasure Coast or Jacksonville) - Howell Branch office Will travel between market***
Provides leadership and support in establishing the Quality Performance Initiatives at the market level
Collaborates with physicians to execute the implementation of the clinical quality initiatives as defined by enterprise
Provides expertise to the training department on STAR/HEDIS measures and on the tools that support the collection of STAR/HEDIS data
Work with IT on the interpretation of technical specifications and impact of HEDIS/STAR Measures to the data collection tools and reports utilized for the support of HEDIS/STAR measures
Conduct training on HEDIS/STAR measures, HEDIS/STAR data collection software and data collection strategies
Participate in NCQA HEDIS or Health Plan audits
Work with external vendors on data transmission issues
Analyze data for possible data integrity and data deficits
Analyze and trend HEDIS/STAR rates, identify barriers to improvement of rates and creating interpretive exhibits
Update QI Project templates and Work plan with assigned responsibilities
Attend and participate in all QI meetings
Unrestricted Nursing License in Florida
A minimum of 3-5 years management experience
Prior HEDIS/STAR experience or participation with regulatory reporting
Must have a basic understanding of quality improvement standards such as NCQA, HEDIS, CAHPS, HOS and CMS
Excellent training and presentation skills with solid communication capabilities and practices, both oral and written
Excellent communication, writing, proofreading and grammar skills
Strong teamwork, interpersonal, verbal, written, and administrative and customer service skills
 BSN degree or related field
 Three or more years of process management experience
 Healthcare Quality Improvement experience
 CPHQ Certification
 CHCQM Certification

Quality Improvement Manager Resume Examples & Samples

Lead Quality Improvement Teams (QIT) and ensure implementation in the region is in alignment with ENA Quality strategies and priorities, monitor key Quality KPI’s for branches and districts, report status and ensure permanent Corrective Actions are implemented
Conduct site visits to ensure compliance with system and procedures including: 5S audits, critical sites follow-up (EFR/COR); pilot validation support
Engage with branches by leading and facilitating Quality Improvement Projects (both Process and Product)
Understand drivers of process and product defects (rework, scrap, call-out rate, etc) which impact the long-term reliability of equipment and ultimately customer experience
Develop innovative solutions to reduce waste and improve quality
Conduct project reviews to identify issues (both product and process), understand root cause, and develop and implement corrective actions to limit risk and financial exposure
Participate and lead portions of District/Branch Operational Reviews
Min 5 years experience in quality improvement or engineering
Field experience a plus
Leadership skills with proven ability to work with a cross-functional team in a matrix reporting structure
Quality methods and tools knowledge
Analytical skills and experience utilizing Lean Six Sigma or other proven quality tools and methods in a multi-facility operation
Leadership and ability to influence without authority
Demonstrated success directing improvement teams
Ability to work in cross functional/matrix teams
Flexibility to travel (50% of time) throughout the region for site visits, branch visits and key meeting attendance
Positive attitude, willingness to initiate, lead, and implement change
Strong interpersonal skills, good communicator
Ability to effectively present information and respond to questions from groups including mid-level management
Ability to effectively evaluate business performance, develop improvement strategy, and identify individual projects/initiatives which are aligned to business strategy and drive performance improvement

Quality Improvement Manager Resume Examples & Samples

Responsible for planning, coordinating and tracking project activities, such as webinar/conference call scheduling and agenda and content planning
Coordinates project activities, including administrative tasks – scheduling webinars, sending reminders, cataloging data from teams/sites; meeting notes; meeting agenda
Demonstrates ability to influence, manage, and drive project partners towards success
Demonstrates understanding of Model for Improvement
Manage and maintain project-related tracking tools and Data Dashboards
Provides thorough and timely customer service to project partners and stakeholders
Excellent verbal, written, interpersonal, organizational and communication skills
Proficiency with general computers and computer software including MS Office Suite
Ability to multi-task and prioritize, work autonomously, establish timelines and meet deadlines
Ability to remain organized with multiple interruptions
2-4 years’ experience managing health care related projects
Master’s degree in Public Health or related field
Experience in or knowledge of health care or related systems and quality improvement strongly preferred
Experience in or knowledge of interprofessional processes

Quality Improvement Manager Swhp Resume Examples & Samples

Manage and coordinate all the SWHP QI initiatives, programs and reporting requirements to ensure compliance
Collaborates with the SWHP QI team members to design and implement QI programs which support SWHP initiatives and the overall Scott & White Healthcare initiatives of QI
Actively monitor and support the accomplishments of assigned reporting staffs QI goals and objectives
Periodically gathers information and statistics on all QI initiatives and programs to prepare accurate and clear status reports for senior management
Annually evaluate the QI Program and QI Work Plan to make recommendations to the QI/Clinical Analytics Director for updating and modifying the program in order to maximize its effectiveness for SWHP
Assure that all QI team members are trained in and knowledgeable of all HEDIS/NCQA data integration and software and medical record abstraction, to ensure QI data quality
Ensure that SWHP is collecting all necessary HEDIS administrative data. Ensure that all data is collected accurately and timely during HEDIS hybrid review
Serve as liaison between SWHP IT Department and the QI department to ensure that timely, accurate, and complete data is obtained for any reporting
Maintain relationship with any external vendor(s) for HEDIS/NCQA as applicable
Delegate and assist QI Coordinators with development of QI studies
Assists with coordination of SWHP regulatory processes with NCQA, TDI Texas DHHS, and all other regulatory bodies to ensure Scott & White Health Plan meets requirements
Maintain detailed knowledge of NCQA accreditation data requirements and HEDIS reporting criteria
Continuously track and maintain progress of QI work plan and assure that all reporting staff remains on track with deadlines and requirements
Support and assist in the development and drafting of policies and procedures that meet the standards/criteria of accrediting and review organizations
Communicates QI information to all SWHP departments, executive leadership, contracted facilities/providers, and new staff members to improve quality
Periodically provides verbal and written information on QI initiatives and programs to providers in order to further overall QI Program
Gather project/activity status information and furnishes detailed information to management for use in briefing the SWHP Board of Directors and other management groups
Supports the thorough orientation of new SWHP staff by providing education on the SWHP QI Program in a clear and professional manner
A Bachelor Degree in health sciences, business, healthcare administration, Health Information Management (HIM), or Management Engineering is required (e.g. BS, BA, BSN, BSW). A Master Degree or equivalent experience in a related healthcare field is preferred (e.g. MA, MS, MBA, MSN, MSW)
Minimum of six (6) years of Quality Improvement Experience
Experience in a healthcare or managed care related field is preferred
Two (2) years of progressively responsible management experience is preferred
Proficiency in Microsoft Office Suite, including but not limited to Outlook, Word, Excel, Access, and Power Point. Knowledge of SQL, Oracle, and/or relational databases highly preferred
Proficiency testing may be required at the request of the SWHP Director of Quality and Clinical Analytics
Highly skilled in analytical reasoning, interpreting and evaluating complex information and have the ability to work in a fast paced, deadline driven environment
Location/Facility – Health Plan, Temple Texas