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 qualityClinical background preferredPrior 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 / assessmentsProficiency in quantitative data analysis Proprietary. Not For Distribution v. 10.28.25 1 Statement of WorkAt 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 populationFacilitating 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.