| Quality Management Director - Health Plan Job Description |
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| The following is a full job description for Quality Management Director - Health Plan. Here are the requirements and responsibilities for Quality Management Director - Health Plan along with statistics. If after reading this page you determine that Quality Management Director - Health Plan is not the position you are looking for, you may want to try one of these similar titles: Quality Management Director - Health Plan, Quality Management Analyst III - Health Plan, Quality Management Analyst II - Health Plan, Quality Management Manager - Health Plan, Quality Management Nurse - Health Plan, Quality Management Nurse, Sr. - Health Plan, Project Management Director, Account Management Director, Environmental Health & Safety Director, Asset Management Director |
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| Requirements and Responsibilities For Quality Management Director - Health Plan |
| Directs the development, implementation, and oversight of quality management strategies, policies, and programs to ensure the health plan meets regulatory and accreditation standards such as NCQA. Analyzes healthcare data to identify trends, gaps, and opportunities for improving member care and operational efficiency. Oversees reporting to regulatory bodies, manages performance metrics, and provides leadership for quality measurement and improvement initiatives. Requires a bachelor's degree. Typically requires a Registered Nurse (RN) license. Typically reports to senior management. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. |
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| Also referred to as: Clinical Quality and Compliance Director - Health Insurance, Clinical Quality Management Director - Health Insurance |
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| Similar Jobs: Quality Management Director - Health Plan, Quality Management Analyst III - Health Plan, Quality Management Analyst II - Health Plan, Quality Management Manager - Health Plan, Quality Management Nurse - Health Plan, Quality Management Nurse, Sr. - Health Plan, Project Management Director, Account Management Director, Environmental Health & Safety Director, Asset Management Director |
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| Level of Education: Quality Management Director - Health Plan Salaries with a Bachelor's Degree, Quality Management Director - Health Plan Salaries with a Master's Degree or MBA, Quality Management Director - Health Plan Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
