Details
Department: Training and Performance Improvement
Schedule: Full-Time, 8-hour day shift, Monday - Friday, Remote
Facility: Ascension Care Management Insurance
BenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your communityPlease note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics.ResponsibilitiesAs the Health Plan Training and Quality Improvement Manager, you'll be the subject matter expert in activities related to process improvement initiatives.
Develop and implement quality improvement plans.
Monitor and analyze quality performance metrics.
Collaborate with various departments to identify areas for improvement.
Lead quality improvement projects and initiatives.
Ensure compliance with industry standards and regulations.
Conduct regular quality audits and assessments.
Provide training and support to staff on quality improvement processes
Utilize data analysis to drive decision-making.
Coordinate with external auditors and regulatory bodies.
Collect, analyze and present data in a narrative, statistical and graphic format.
Perform medical record reviews for quality measures as assigned.
Develop corrective actions, improvement strategies in collaboration with medical management leadership staff and monitor outcomes.
Demonstrate the ability to perform complex quality management responsibilities (i.e. facilitator, liaison, educator, data analysis/design/collection/implementation, etc.).
Training, mentoring, and guiding team members in new processes.
RequirementsEducation:
High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required.
3 years of leadership or management experience preferred.
Additional PreferencesAdditional Preferences:
Bachelor's degree from an accredited college or university, preferred.
2 years of managing health plan, quality improvement or quality assurance activities experience, preferred.
3 years of utilization management and case management experience, preferred.
#LIRemoteWhy Join Our TeamAscension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.Equal Employment Opportunity EmployerAscension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088EEOCKnowYourRights1020.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088EEOCKnowYourRightsSp1020.pdf) poster.As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp%20EnglishformattedESQA508c.pdf)Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.E-Verify StatementThis employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-VerifyParticipationPosterES.pdf)