California Licensed Clinical Quality Manager

A company is looking for a Manager Clinical Quality Improvements. Key Responsibilities Lead a team in quality improvement initiatives across Medicare, Medicaid, and Commercial spaces Develop and monitor quality improvement plans while coordinating action plans and analyzing project results Ensure compliance with regulatory standards and optimize performance through data analysis and reporting Required Qualifications CA Clinical licensure (RN, LVN, LCSW, NP, PA) 5 years of Quality Management experience in a managed care health plan or medical group 5 years of management or leadership experience in quality management 3 years of experience with HEDIS measures reporting and CMS Stars, P4P, ACO, and Value-Based Payment Programs Bachelor's degree or equivalent in health sciences or a related field

Mar 12, 2025 - 00:55

A company is looking for a Manager Clinical Quality Improvements. Key Responsibilities Lead a team in quality improvement initiatives across Medicare, Medicaid, and Commercial spaces Develop and monitor quality improvement plans while coordinating action plans and analyzing project results Ensure compliance with regulatory standards and optimize performance through data analysis and reporting Required Qualifications CA Clinical licensure (RN, LVN, LCSW, NP, PA) 5 years of Quality Management experience in a managed care health plan or medical group 5 years of management or leadership experience in quality management 3 years of experience with HEDIS measures reporting and CMS Stars, P4P, ACO, and Value-Based Payment Programs Bachelor's degree or equivalent in health sciences or a related field