Location: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the posted Elevance Health locations.
The Director Clinical Quality is responsible for working with the regional head of health care management to direct the clinical quality initiatives, including NCQA accreditation and compliance with regulatory agencies and other objectives.
How you will make an impact:
Works with both internal and external customers to promote understanding of health services activities and objectives within the company and to prioritize departmental projects according to Elevance Health corporate, regional, and departmental goals.
Maintains expert knowledge of current industry standards, quality improvement activities, and strong medical management skills.
Assures the training and continuing education of staff regarding standards and guidelines, including NCQA and HEDIS.
Hires, trains, coaches, counsels, and evaluates the performance of direct reports.
Minimum Qualifications:
Requires BA/BS in a clinical or health care field (i.e. nursing, epidemiology, health sciences) and 5 years progressively responsible management experience in a health care environment or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
MS or advanced degree in a health care related field (i.e. nursing, health education) or business strongly preferred.
Previous experience working with NCQA, and HEDIS preferred.
