Elevance Health
This listing was posted on Broadbean.
Manager Clinical Quality (Delegation Oversight)
Location:
Indianapolis, IN
Description:
Manager Clinical Quality (Oversight Delegation) JR131941Location: This position is part of our Hybrid 1 Workforce Strategy and requires you to work from the office 1 - 2 days/week. Qualified candidates must reside within 50 miles of an open, relevant, Elevance Health PulsePoint.Work Hours: Prefer East or Central Time ZoneThe Manager Clinical Quality is responsible for managing a team of auditors who conduct 500-600 annual audits per year for oversight of delegates performing Call Center functions and for delegates requiring a Global audit. These delegates serve all lines of business and multiple markets (in some cases, all markets). The team conducts ongoing monitoring and manages corrective action plans to closure. Primary duties may include, but are not limited to: * Implements and evaluates current processes including operational statistics, service standards and process improvement initiatives. * Provides oversight in the planning, implementation and coordination of health care audits to ensure high quality, cost effective care. * Participates in internal and external quality review activities. * Manages and oversees quality assurance activities, which may include, but is not limited to: * managing the production, analysis, and submission of the annual HEDIS report; * overseeing community health promotion and disease management initiatives in each state in the region; * coordinating audit activities with other regions; * managing achievement and maintenance of NCQA accreditation; * scheduling all information for surveys, conducting mock audits, and providing consultation to business units and team leads as regards NCQA standard issues. * Hires, trains, coaches, counsels, and evaluates performance of direct reports.Minimum Requirements: * Requires BS in nursing or a health care related field and minimum of 3 years of managed care experience which includes a minimum of 2 years supervisory experience; or any combination of education and experience, which would provide an equivalent background.Preferred Qualifications: * Experience in the auditing and monitoring of delegated entities, preferably in all lines of business. * Experience in program development and knowledge of the quality audit process and QI techniques strongly preferred. * Certification and/or license appropriate to field of specialty as required.Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.
Company:
Elevance Health
Posted:
November 13 on Broadbean
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More About this Listing: Manager Clinical Quality (Delegation Oversight)
Manager Clinical Quality (Delegation Oversight) is a Executive Manager Job at Elevance Health located in Indianapolis IN. Find other listings like Manager Clinical Quality (Delegation Oversight) by searching Oodle for Executive Manager Jobs.
Manager Clinical Quality (Delegation Oversight) is a Executive Manager Job at Elevance Health located in Indianapolis IN. Find other listings like Manager Clinical Quality (Delegation Oversight) by searching Oodle for Executive Manager Jobs.