Manager Quality - Value Based Care (Hybrid Detroit/Jackson) - Mosaic CIN

EDUCATION/EXPERIENCE REQUIRED:

• Bachelor’s Degree in health administration, health promotion, public health, nursing, or other related field.
• Master’s degree in health related field, preferred.
• Minimum of five (5) years of experience in the healthcare industry. One (1) year quality improvement experience.
• Managed care organizations, Medicaid and/or Medicare, preferred.
• Prior leadership/management position, preferred.
• Manage quality work and enforce quality healthcare throughout the organization.
• Identify barriers to quality healthcare and/or gaps in process that interfere with the delivery of quality healthcare.
• Demonstrate strength in teaming and interpersonal skills and the ability to initiate and maintain cross-team relationships.
• Meet mission/critical deadlines and to motivate staff to meet these deadlines.
• Manage projects, people and time resources and monitor the effectiveness of activities.
• Organizational skills.
• Multiple healthcare knowledge areas; including clinical, coding, business operations, and IT analytics.
• Appreciation of cultural diversity and sensitivity towards target population.
• Excellent verbal and written communication skills.
• Computer literacy (including the ability to navigate through internal and external systems).

• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPPA).

   

   

Department Experience preferred:

• Familiarity with value based care and quality measures. 
• Experience in performance improvement activities to ensure maximum quality scores. 

CERTIFICATIONS/LICENSURES REQUIRED:

• CPHQ, preferred.
• Knowledge of HEDIS, CAHPS, and NCQA accreditation, preferred.