Overview
QA Senior Specialist Operations Jobs in Columbus, OH at Andelyn Biosciences, Inc
Department and Name: VAP – Clinical Care Services Admin
Physical Location: Virginia Premier Health Plan Glen Allen
Employment Status: Regular – Full-Time
Shift: First (Days)
Posted Date: January 29, 2025
Sentara Healthcare is hiring a Manager, Quality Improvement in Virginia!
Position Status: Full-time (40 hours), Day Shift
Standard Working Hours: 8:00AM to 5:00PM (ET).
Position Location: This is a remote position in VA. Will need to go to the office as needed.
Job responsibilities:
The Manager, Quality Improvement at Sentara Health Plans is responsible for the oversight and leadership of all quality, regulatory, accreditation and population health outcomes for multiple product lines or multiple health plans. Oversees a team of Managers leading teams of Quality and Population Health resources. This includes, but is not limited to efforts associated with the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), the Department of Medical Assistance Services (DMAS), the Centers for Medicare and Medicaid Services (CMS) and other required entities associated with or required by the state and/or federal government. Establishes quality performance initiatives impacting outcomes for the populations and recommends quality strategies. Works closely and collaboratively across all Sentara Health Plans and the various departments, at each health plan, to achieve the goals and objectives of the Quality Program.
Required qualifications:
1 year Project Management experience, 1 year Quality Improvement experience and 3 years Regulatory/Compliance experience REQUIRED
Preferred qualifications:
Advanced Degree: MBA, MPA, MHA, MSN, NP or other related degree preferred
Six Sigma Green or Black Belt: Three or more years of Six Sigma application experience preferred
Certified Professional in Health care Quality (CPHQ): CPHQ Certification preferred
Nursing degree preferred but not required
1 year Health Insurance Plans experience, 3 years Medicaid, Medicare, Process Improvement experience preferred
Benefits: Sentara offers an attractive array of full-time benefits to include
Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B , 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks and more.
Sentara Health Plans is the health insurance division of Sentara Healthcare.
Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.
With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
Monster
Talroo – Health Plan
Managed Care, MCO, Health Plan, Healthcare, Project Management, Quality Improvement, Regulatory, Compliance, RN, MBA, MPA, MHA, MSN, NP, Six Sigma Green Belt, Black Belt, Certified Professional in Health care Quality, CPHQ, Medicaid, Medicare, Process Improvement, Remote, Virginia
Title: QA Senior Specialist Operations
Company: Andelyn Biosciences, Inc
Location: Columbus, OH
