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Director, Quality Improvement

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St Louis, MO
Job Type
Direct Hire
May 30, 2019
Job ID

Director, Quality Improvement


Director will work closely with the VP across all product lines for the growing Missouri market

            Exceptional growth- generous relocation

Lead and direct process improvement activities that provide more efficient and streamlined workflow.

Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance

Responsible for quality improvement aspects of risk adjustment processes for all products

Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS)

Oversee provider satisfaction surveys and implement action plans for improvements

Research and incorporate best practices into operations

Organize and control activities, methods, and procedures to achieve business objectives

Review and implement new technological tools and processes and fosters team concept with internal and external constituencies

Present results of improvement efforts and ongoing performance measures to senior management

Formulate and establish policies, operating procedures, and goals in compliance with internal and external guidelines


-Bachelor's degree in Nursing, related clinical degree or equivalent experience.

Masters’ degree preferred

-7+ years of quality management, quality improvement or healthcare operations experience..

-Formal certification in quality improvement, risk management, or another parallel field is preferred.

-RN license

- Certified Professional in Health Care Quality preferred.