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Vice President, Quality (Health Plan)

Location: Indianapolis, IN
Job Type: Direct Hire
Salary: $150,000.00 - $210,000.00
Degree: Bachelor; Master;
Date: 7/12/2018
Job ID: 02610840
Job Description

Title: Vice President, Quality & Process Improvement (Health Plan)

Position Purpose:
As the senior leader, reporting to the Health Plan CEO, you will be responsible for developing and overseeing the quality improvement programs and strategies for the business unit.
To be part of the leadership team to assist and develop the strategic mission and vision of the business unit
To identify and implement the selection of process improvement activities across the organization of this Fortune 100 company.

Driving performance improvement for HEDIS, Stars, State Contract Quality & Pay for Performance/Withhold, and Marketplace QRS
Medicare Quality metrics and processes
Other quality improvement opportunities

  • Develop infrastructure and processes for management of activities related to National Committee for Quality Assurance (NCQA) Accreditation and Healthcare Effectiveness Data and Information
  • Set (HEDIS) performance ensuring the highest level of accreditation
  • Oversee the development and implementation of enterprise-wide and market-specific process improvement programs
  • Review and present results of quality interventions for clinical and operational performance improvements and identify organizational risks to executive management
  • Develop and ensure consistent, reliable and valid application of data collection and analysis for priority performance measures, including HEDIS, pay for performance and contractual performance measures
  • Review and analyze cost-benefit and return on investment analyses for organizational resource allocation and recommend action plans
  • Responsible for building relationships and positioning MHS as the “go to” source for state of the art MCE Quality Metrics.
Bachelor's degree in healthcare or related clinical field.
Master's in Business Administration preferred.
10+ years of healthcare operations experience including, quality and process improvement experience.
Experience with NCQA accreditation preparation and auditing, including the analysis of HEDIS performance measures. 

Certified Professional in Health Care Quality (CPHQ).
RN License preferred.

Compensation: Substantial base salary with 20% or higher Bonus and Generous Relocation package will be offered to the right candidate.

Kersey & Associates, Inc.
513 Usdasdi Drive Brevard, NC 28712
Phone: 828-966-9030    Fax: 828-966-9032    Email: