Director of Quality Management (Remote, U.S.)

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks a Director of Quality Management to join our growing team.

Job Summary:

The position will be responsible for leading the qualitative and quantitative research and data analytics related to policy, development, and implementation of an efficient, coherent, and cohesive system of oversight for the state Medicaid Contract.

*Position is remote with the United States, but candidates must be able to work Eastern Time Zone business hours. 

Job Responsibilities: 

• Expert experience with developing Medicaid programs and policies
• Mastery knowledge of Quality Framework for long term care programs
• Serve as the primary Subject-Matter Expert (SME) regarding LTSS-related quality standards required per Federal and Administrative rules and developing effective monitoring tools.
• Ensures the implementation of key performance indicators and develops and maintains systems for tracking, reporting, and improving performance. 
• Directs all quality improvement activities, provides continuous improvement consulting services to internal customers, employs knowledge of performance improvement strategies, principles, methodology, techniques, and data analysis. 
• Promotes awareness of customer requirements throughout the operation. Effectively manages internal and external vendor communications by collaborating and disseminating reports, defining program descriptions, and sharing analytical findings.
• Ensures quality and sustainability of quality management system production processes.
• Establishes key performance indicators and maintains tracking, reporting and performance improvement systems.  
• Expert experience identifying and analyzing system deficiencies and problem solving to prevent recurrence.
• Expert experience implementing and overseeing day-to-day operations related to special projects or programs.
• Other duties as assigned.

Requirements

• Bachelor’s degree (Master’s degree preferred) from an accredited college or university
• 3+ years of management experience in a health-related field
• Demonstrated knowledge of CQI tools, methods and techniques, and an excellent grasp of SPC.
• Knowledge of URAC, NCQA and/or ISO background.
• Ability to take initiative, provide leadership, maintain confidentiality, meet deadlines and work in a collaborative team environment.
• Highly developed analytical skills with an ability to objectively evaluate data and perform statistical analysis.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

Thank You!

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.  

Compensation

The pay range for this position is $110,000-125,000.

Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.