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Quality Care Project Director

Quality Care Project Director

TPI Global SolutionsBibb County, AL, US
4 days ago
Job type
  • Temporary
Job description

Job Description

Job Title : Quality Care Project Director

Duration : 7+ Months Contract (with possibilities of extension)

Job Location : Northwest Region

Description of Work :

The vendor shall provide assistance to fulfill the Quality Care Project Director position to perform these Primary functions :

  • Oversee the development of the Quality Improvement Plan
  • Work with practices and community providers in the implementation of the Quality Improvement Program
  • Ensure the PCCM-e completes the required QIP and meets required benchmarks
  • Review and report data to the Medical Director, and conveys information related to Quality Measures, QIPs, and any Agency directed quality initiatives adopted by the Agency to the PCCM-e
  • Support the care coordination activities of those in the Region that are at the highest risk and cost along with other areas of focus as chosen by the PCCM-e
  • Ensure quality of services are provided in accordance with state and federal regulations.

Personnel Qualifications

Education requirement is one of the following :

  • Bachelor’s degree in public health, public administration or healthcare quality and safety, master’s degree preferred.
  • Certified Professional in Healthcare Quality (CPHQ) or equivalent experience related to healthcare quality
  • Clinical background preferred
  • Prior experience, at least one year, working with the Medicaid population.
  • Familiarity with Healthcare Effectiveness Data and Information Set (HEDIS), CAPHS, and other standardized quality measures / assessments
  • Proficiency in quantitative data analysis Proprietary. Not For Distribution v. 10.28.25 1 Statement of Work
  • At least 3 years’ experience related to population health management, including interpretation and presentation of data; identifying opportunities for improvement, and developing strategic plans to address quality deficits.

    • Population Health Management strategies – Oversees the PCCM-e quality Improvement Plan by :

  • Systematic data analysis to target Medicaid recipients and providers for outreach, education, and intervention to improve health outcomes.
  • Monitoring system access to care, services, and treatment including linkage to a Medical Home.
  • Monitoring quality and effectiveness of interventions to the population
  • Facilitating quality improvement activities that educate, support, and monitor Providers regarding evidence-based care for best practice.
  • Implementing clinical management initiatives identified as priorities by the Agency and the PCCM-e.
  • Residence in one of the following Alabama counties is preferred : Bibb, Colbert, Fayette, Franklin, Greene, Hale, Lamar, Lauderdale, Lawrence, Marion, Pickens, Sumter, Tuscaloosa, Walker or Winston.
  • Candidates residing in Mississippi counties contiguous to Alabama will also be considered.
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    Director Quality • Bibb County, AL, US