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Manager of Quality Programs

Telligen

  • Oak Brook
  • 4 days ago

    Highlights

    If you need assistance to navigate Telligen’s careers website or to apply for a position, please send an email to [email protected] We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. The Illinois Tailored Care Management Program helps individuals with complex health and social needs transition from nursing facilities and Specialized Mental Health Rehabilitation Facilities (SMHRFs) to community-based living.

    Numbers & Facts

    LocationOak Brook
    IndustryHealthcare Services
    Company Size500 to 999 employees
    Year Founded1972
    Websitehttp://www.telligen.com/

    Description

    We are currently seeking a dedicated and motivated individual to join our team as a Manager of Quality Programs. In this pivotal role, you will be responsible for the development and management of our quality improvement/quality assurance programs.

    As the Manager of Quality Programs, you will play a vital role in driving strategic planning, providing leadership, and ensuring operational oversight for our quality initiatives. Your expertise and vision will be instrumental in the development, implementation, monitoring, and client relationship management related to quality standards. With a strong focus on the company's goals, contractual obligations, regulatory requirements, and accreditation standards, you will be responsible for developing and maintaining quality improvement initiatives. Your proactive approach and commitment to excellence will ensure our continuous improvement and compliance with industry-leading practices.

    Additionally, as part of your role, you will have the responsibility of contributing to the development of content for proposals. Your valuable input will help shape the direction and quality of our proposals, as you review drafts and provide final approval for their content. Your ability to effectively communicate quality improvement strategies will enhance our ability to secure new business opportunities.

    The Illinois Tailored Care Management Program helps individuals with complex health and social needs transition from nursing facilities and Specialized Mental Health Rehabilitation Facilities (SMHRFs) to community-based living. Through person-centered care management and coordinated support services, the program empowers members to live more independently and thrive in their communities.

    What You'll Do:

    • Lead and manage operations necessary to successfully deliver and ensure contract and/or accreditation requirements are met.
    • Ensure the operational unit can meet the current and future needs of clients and markets.
    • Plan, develop, execute, and direct assigned quality improvement programs, projects, and/or contracts.
    • Assist with planning all quality-related aspects of assigned contracts and promote vertical and horizontal integration of tasks. 
    • Exercise independent judgment and discretion with development and execution.
    • Ensure timely and accurate completion of deliverables, within the contract budget, resulting in client satisfaction.
    • Serve as a quality liaison between clients and Telligen, providing timely resolution to issues. 
    • Assist in developing and training on quality deliverables and metrics.
    • Ensure data is maintained accurately and in a confidential environment. 
    • Coach, guide, and direct team members to achieve individual, team, and organizational quality objectives. 
    • Ensure accountability through oversight, performance measurement, and performance feedback. 
    • Fulfill the Telligen Management Philosophy that "Managers coach, engage, and support our people to achieve results."  
    • Prepare estimates and budgets for assigned projects or contracts. 
    • Ensure performance is conducted cost-effectively by collaborating with contract managers to monitor financials.  
    • Represent the Company or business unit at meetings, as assigned.
    • Can make presentations with a professional and knowledgeable image.
    • Research business opportunities and provides subject matter expertise, as well as work with leaders at all levels throughout the company to ensure the success of the program and compliance with all contractual obligations.

    Required Skills and Experience:

    • Four-year degree in health care, management, nursing, public health, or related field and/or equivalent training and/or experience
    • Minimum of 3 years managing projects/programs
    • Medicaid quality experience required
    • NCQA experience required
    • Must be able to succeed in a collaborative, matrix environment

    Preferred Skills and Experience:

    • Registered Nurse license preferred
    • Experience managing professional staff in a healthcare quality program
    $103,000 - $128,000 a year
    Who We Are:
     
    Telligen is one of the most respected population health management organizations in the country. We offer clinical, analytical, and technical expertise to support local, Tribal, and national partners, state and federal government programs, and employers and health plans.
     
    Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
     
    Our business is our people and we’re seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.
     
    Are you Ready?
     
    We’re on a mission to transform lives and economies by improving health.
     
    Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.
    Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.
    Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.
    Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence.
      
    Thank you for your interest in Telligen!
    Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
     
    While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
    Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
    Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
     
    Telligen is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, protected veteran status, disability or any other protected class.
     
    Telligen is committed to ensuring that our employment process is open to all individuals, and provides reasonable accommodations to individuals who need assistance during any part of the employment process due to a disability, medical condition, or physical or mental impairment. Reasonable accommodations are considered on a case-by-base basis.
     
    If you need assistance to navigate Telligen’s careers website or to apply for a position, please send an email to [email protected]
    We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

    About Company

    Our Mission: We improve the quality and cost-effectiveness of healthcare for consumers and providers.

    Do you deliver healthcare? Or pay for healthcare? No matter your role, Telligen can help you improve quality and lower costs by combining our deep clinical and technical expertise to solve your healthcare challenges. We are passionate about turning raw data into knowledge and knowledge into action, It's what we call "Healthcare Intelligence."

    We help you by identifying where and how to drive improvements in members' health. In providers' processes. In how data is leveraged. In how performance is compensated. In how waste is eliminated. And in how resources can be used more efficiently. We have implemented population health management through provider and member engagement and have proven results.

    In other words, we help ensure the right care is delivered, in the right setting at the right cost, every time.

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