Description: Under the direction of the KHS Administrative Director of Health Services, the Deputy Director of Health Services will oversee and participate in activities related to quality improvement for the organization and membership by monitoring, assessing and improving performance in ambulatory and inpatient health care delivery or health care related services. The Deputy Director will implement the KHS Quality Management Plan and communicate with contract providers regarding required studies and participation. Related duties will include ongoing data collection, medical record reviews, report writing, and collaboration and coordination with other KHS departments, as well as outside agencies.
This position is responsible for quality improvement, HEDIS reporting, health education and disease management functions for KHS. This professional will be responsible for ensuring compliance with the QI work plan, oversight of the design, implementation, analysis and dissemination of utilization and accessibility studies and member and provider satisfaction studies. The Deputy Director will also be responsible for overseeing the production, analysis, and dissemination of contractually mandated reports. In addition, this professional will be responsible for direct oversight and supervision of the QI department while sharing joint oversight of the Health Education and Disease Management department with the Chief Medical Officer. This position will work collaboratively with the manager of Health Education and Disease management to assist with oversight of RNís in the department. In addition, this position will assist in ensuring compliance with Medi-Cal contractual stipulations for Quality programs. In collaboration with the Administrative Director of Health Services, will make an effective contribution to KHSís business planning and fiscal processes and will remain clear about departmental objectives and resource requirements. In addition, this position will reinforce a shared sense of purpose throughout the organization and serve as a mentoring role that strongly encourages the growth of team members. Ensuring professional development goals are incorporated into team membersí annual performance objectives, and regular reviews progress towards attaining them is paramount to this role. "2,000 SIGN ON BONUS"
Requirements: Possession of a valid California R.N. license required; completion of a Bachelorís Degree in Nursing (BSN) from an accredited institution or other relevant health care field required. Experience in disease management program implementation, research design, data collection, medical record abstraction, and quantitative analysis of health data required. Previous experience in NCQA accreditation process preferred. Minimum of five (5) years management experience. Knowledge of 5 Ė 7 years managed care systems in a health maintenance organization (HMO). Applicable standards and regulation pertaining to quality improvement programs for the DHS, NCQA, and HEDIS data collection and analysis; study design methods; appropriate quality tools and applications. Accreditation standards, medical information systems, medical claims payment processes, Medicaid program requirements. Proficient with MS Excel, MS Word, PowerPoint, MS Outlook. Possession of valid driverís license and proof of State required auto liability insurance. Required Travel Up to 20%
We have an excellent benefit package to include: health care, dental, life, 457b and 401a plan, and other supplemental benefits. As a condition of employment, a satisfactory drug test and background check are required. E.O.E.