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VP, Quality & Risk Assessment

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Location
Alburquerque, NM
Salary
$150,000 - $200,000
Job Type
Direct Hire
Degree
Bachelor, Master
Date
Apr 05, 2018
Job ID
2586951

VP will serve as the market Subject Matter Expert for quality.  Great chance to build a Quality& Risk function from ground zero.  Key member of the leadership team needs to be an influencer with a strong focus on continuous improvement.

Incredible career potential - generous relocation - benefits and perks

 VP will execute the QIQM per state contract.  Oversee all related activities for the Quality Improvement functions. Lead and direct process improvement activities for more efficient and streamlined workflow. Oversee the business processes related to risk adjustment and quality improvement for assigned products and plans.
 

Qualifications:

- VP level leadership experience. 
-10+ years of healthcare operations experience, including quality improvement and NCQA accreditation experience.

-Bachelor's degree in Nursing or related clinical field or equivalent experience.  Masters degree preferred.

-Extensive experience in managing manage d care contracts. CCP – must be able to follow the developed plan, implement and track.

-Strong experience with HEDIS reporting; State measures – performance and tracking; state performance improvement plans (PIPs); Compliance with all of these.

-Demonstrated success with continuous improvement

-Demonstrated success as a Strong influencer ... up the chain, down the chain and collaboratively with other departments/consultants/providers/contributors

-Experience managing acquisition and integration of external data sources. 


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