Senior HEDIS Manager at Texas Children's Medical Center

DescriptionWere searching for a Senior HEDIS Manager someone who works well in a fast-paced this position youll be responsible for overseeing maintaining and supporting the departments active programs which include but are not limited to: Quality Improvement Initiatives (QIAs) accreditation CAPs quality escalations regulatory notices intra-departmental shared operations accreditation oversight and others.Think youve got what it takesJob Duties & ResponsibilitiesLeads quality strategy meetings related to assigned projects and quality initiativesAssures compliance with QI work plansMaintains effective documents of research programs to meet regulatory and accreditation standardsLeads interactions with regulators or oversight entities including related accreditation vendorsLeads efforts to identify best practices Identifies potential issues project change and scopeManages audits to ensure compliance with NCQA standards and regulatory initiativesConducts regularly scheduled audits of the quality programs and initiatives (QIAs)Conducts internal audits to ensure required regulatory and accreditation metrics are being met and protocols are being followedManages and reports on all clinical and non-clinical program reports and metrics on a standard frequencyEscalates to leaders when metrics are unmet and outliers are identified. Assists with conducting root cause analysisCreates policies procedures job aids and training materials to stand up new programCollaborates with Education to ensure trainings are deployed to internal and external teamsCommunicates with co-workers on joint projects and initiativesIncorporates ongoing changes to accreditation and regulatory documents trackersSkills & RequirementsBachelors degree in healthcare healthcare administration or related business degree requiredCPHQ - Cert-Cert Prof Healthcare Qual by The Certified Professional in Healthcare Quality preferred5 years of experience in a health plan with quality improvement health plan accreditation and or regulatory reporting required3 years of experience as a program manager or related role with oversight of multiple programs requiredRequired Experience:Manager Key Skills Program Management,FDA Regulations,Management Experience,Facilities Management,Clinical Development,Data Management,Quality Systems,Project Management,Research & Development,GLP,Budgeting,Leadership Experience Employment Type : Full-Time Experience: years Vacancy: 1