Sacramento, CA11 days ago
Directs the development of multiple quality improvement initiatives by: leveraging the application of advanced technology, methods, and tools to develop stakeholders capabilities for process improvements; integrating the use of advanced data-driven improvement principles, tools, and problem-solving methods, including Lean/Six-Sigma concepts and techniques using quality improvement metrics; synthesizes key information and works to break down issues into logical parts for the creation of milestones, detailed workplans, and documentation practices in order to create a clear, logical, and realistic plan; and consulting with related departments, such as Legal, Claims, Risk Management, Compliance, Service and Access, and Member Relations, to implement quality improvement processes to have consistent design and application of improvement methodologies. Serves as the subject matter expert for quality improvement processes and regulations for within departments, facilities, internal and external committees, and key stakeholders by: providing consultation on the interpretation and interaction of current policies, and how they interact with the current climate, and potential changes to regulations and legislation; leading committees, projects to influence decisions on the enforcement, development of policies or procedures of regulations and auditing processes; maintaining collaborative, results oriented partnerships to ensure and advice on organizational capability to remain compliant; empowering educational programs to raise awareness for current and changes in regulation requirement, internal concerns, and system/database usage; and identifying systematic barriers which cause issues and weighs practical, technical, and KP capability to develop corrective actions.