Educational Requirements:Master’s Degree in Public Health, Social Work, Health Administration, or related field

The Quality Improvement Program Manager (QIPM) works in the Quality Improvement Program (QIP) and participates in various activities to evaluate and document the compliance of Partners’ services with contract requirements, Partners’ policies, and NCQA accreditation standards. This position is responsible for the day-to-day management of activities involved in QIP, works collaboratively with and receives instructions and guidance from the QI Consultant. This position coordinates the development of assessment tools and processes to be used during QI reviews. The QIPM develops and conducts technical assistance workshops to address changes to standards and performance requirements. Participates in the implementation of comprehensive capacity building initiatives that address improvements in the overall service care continuum. Develop, implement and coordinate network-wide Quality Management processes, policies and procedures. Manage and coordinate committees and project teams. Provide education and training about Quality Management to network staff. Duties include, but are not limited to:

Ensure timely convening of quality-related committees and workgroups, including: policy committee, quality committee, evidence committee

Schedule meetings per policy and need

Draft agendas in collaboration with VP & QI consultant

Ensure committee/team members have required materials, including minutes from previous meeting, in advance of all meetings

Maintain logs, minutes, sign-in sheets, and records for all meetings

Incidents: Conduct incident investigations – convene meetings, collect materials, facilitate root cause analysis, complete reports.

Maintain log and records of incident reports

Convene/conduct QIP reviews to assess adherence to standards and policies (both Partners’ services and those provided by network members);

Manage and maintain databases for the quality system.

Prepare and assist in preparing annual reports and quality trending reports.

Evaluate quality events, incidents, queries, and complaints.

Keep up to date with related quality legislation, accreditation standards and compliance issues

Compile and prepare materials for submission to contract holders, regulatory agencies & NCQA.

Document internal compliance processes.

Serve as Partners’ privacy officer

Serve as Partners’ safety officer

Ensure regulations and quality standards are communicated through corporate policies and procedures.

Draft new policies and procedures and revisions to existing Policies and Procedures.

Oversee rollout of new policies and procedures

Utilize guidance documents, international standards, or consensus standards and interpret for guidance.

Ensure that investigator, vendor, facility and system audits are conducted.

Communicate any critical compliance risks noted from these activities to senior management.

Provide leadership and strategy in line with global strategic objectives.

Write comprehensive reports that document the overall outcome of the QIP reviews detailing the actual findings and recommendations by individual service categories and providers;

Assist in the development of evaluation tools that will produce quantitative and qualitative data and findings to validate compliance by standards of care for services;

Coordinate the process of data collection and the analysis of data by internal staff and outside consultants;

Assist in identifying service delivery indicators and outcome measures to evaluate effectiveness of applied standards;

Assist in the development and implementation of surveys and other related evaluation tools;

Assist in conducting capacity building and technical assistance initiatives

Participate in QIP team meetings and specialty training sessions;

Review QIP review findings, and formulate recommendations to improve the quality of local standards of care;

Working collaboratively in the development and implementation of CQIP processes.

Develop and write a network quality management plan, policies and procedures;

Develop a network-wide quality management committee with representation from each type of service provider and co-chair the committee;

Develop and coordinate service-related subcommittees that will identify specific quality measures for their specialty;

Facilitate at meetings;

Design, implement and complete statistical analysis as necessary;

Assist and develop improvement projects, coordinating with partners;

Train partner staff in Quality Management principles; and

Evaluate the Quality Management program, making changes and adjustments as needed.

COMPETENCIES DESIRED:

Familiarity and experience with the principles of Continuous Quality Improvement, e.g., brainstorming, cause and effect analysis, root cause analysis, and graphic representation of data.

Familiarity with NCQA accreditation, LEAN/Six Sigma, &/or other industry standard for quality performance

Exceptional communication and customer relations skills

Ability to diplomatically incentivize improvement and, if necessary, require change through goals and standards.

High-level skills using Excel and, preferably, SPSS or other statistical analysis software

Sound decision-making skills for clinical and non-clinical issues

Effective adult learning/training skills

Experience writing clear policies & procedures, training staff, and monitoring adherence

Ability to work well with a minimum of supervision

Previous experience in Quality Management in a health care &/or social service or residential setting

Cultural sensitivity with the ability to communicate orally and in writing to individuals and groups of varying cultural, ethnic, and educational backgrounds

How to apply

Eamil resume to jobs@picf.org or fax resume to 818-837-7227.