Quality/Process Improvement Manager - CFHP HEDIS
Job Description

  • POSITION SUMMARY/RESPONSIBILITIES
    Manages quality and process improvement activities in coordination with health plan staff. Initiates and/or provides oversight of new and ongoing programs/projects related to clinical, non-clinical and service process improvement. Assist with leadership, coordination, and management of the Healthcare Effectiveness Data and Information Set (HEDIS) performance evaluation and HEDIS-related quality improvement projects.



Job Requirements


BA/BS in Management, Business, or other healthcare related degree from an accredited four year institution. Registered Nurse with HEDIS/NCQA, Six Sigma or process improvement background is preferred. Masters degree in business or health related field is preferred. Project Management experience with a focus on HEDIS project management is required. Data analysis, statistical analysis and software applications experience required. Strong clinical or public health experience required. Excellent communication and interpersonal skills required. CPHQ and managed care experience preferred. Understanding of and commitment to HIPAA is required.
LICENSURE
If candidate is a Nurse, must be a registered nurse currently licensed in the State of Texas.

Company Overview

Owned by the people of Bexar County, University Health System is a nationally recognized academic medical center. In partnership with UT Medicine San Antonio, the practice plan of The University of Texas Health Science Center, it is consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Just recently, U.S. News & World Report ranked University Hospital as the Best Metro Hospital and Best for nephrology and urology. Also, University Hospital is the only pediatric trauma center for San Antonio and South Texas. The trauma team at University Hospital is recognized for its expertise in treating serious injuries and burns in children by the American College of Surgeons (ACS). The ACS verified University Hospital as a pediatric trauma center in October 2012, after a lengthy application process and site visit.


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  • Quality/Process Improvement Manager - CFHP HEDIS @ University Health System

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