Director Quality Management

Director Quality Management

Geisinger Health Plan

Danville, PA or Pittston, PA

At Geisinger, we know innovative ideas don’t happen in overnight.  We come together to share ideas and learn from each other, so that a single solution can help more than one patient and potentially an entire community. After all, innovative patient care involves more than just the interaction from their clinical teams, it means creating a streamline process for financial and insurance support. That’s why we’re continuously working towards improvement in a culture where everyone has a voice and firmly believes that better begins with all of us.

The successful candidate will direct and lead initiatives to meet health plan strategic business objectives and regulatory requirements including: 

• Lead the ongoing professional monitoring, documentation and evaluation of the Quality Improvement (QI) Plan to assure progress to goal, compliance with established timelines.
• Supervise the annual production of HEDIS® measure results, including the hybrid medical record audits. Coordinates all activities specific to the HEDIS® audit.

Education / Experience:

Required:

• Physician Assistant with PA licensure, Pennsylvania-licensed RN or Certified Professional in Healthcare Quality by the National Association for Healthcare Quality and Certified in Healthcare Quality and Management by the American Board of Quality Assurance and Utilization Review Providers.
• Bachelor's degree in Business, Health Administration or related field required. Master's degree preferred.
• Minimum seven years of experience in a related field required with minimum of three years in a managed care environment preferred.
• Minimum five years management experience required.
• Proven experience in a hands-on, day-to-day operating environment where results can be directly attributable to individual's effort required.

Preferred:

• Experience with market analysis, strategic implementation and evaluation preferred.
• Experience with HEDIS® Programs/Metrics.

To learn more and apply, please visit Geisinger.org/careers, search Job ID 63596                                                                                   -

Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.