Manager, Quality - QPI (Remote) at TriWest Healthcare Alliance in Phoenix, Arizona

Posted in General Business 9 days ago.

Type: Full-Time





Job Description:

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!!

We offer remote work opportunities for those that reside within the TriCare West region.

Job Summary

Reporting to the Director of Quality and Process Improvement, spearheads the development of quality improvement programs, manages Quality Improvement operations and staff, and coordinates administrative quality data and information for quality committees and the Board of DirectorsPerforms complex analysis and leads resolution to operational problems. Decision making is focused on implementing practical, timely solutions. Assesses the impact of quality improvement initiatives across TriWest. Collaborates and develops consensus with senior leadership and staff at all levels. Communicates and collaborates cross-functionally with a broad scope of project plans and risk management activities. Operates with a thorough understanding of healthcare business processes, URAC and ISO standards. Participates in new program development as necessary.

Education & Experience

Required:
o Bachelor's degree in Business Administration, Management Information Systems, Engineering, Healthcare Administration, or related field. o 5+ years experience in healthcare quality program administration o 5+ years experience managing complex projects/teams o 4+ years experience in business analysis, process improvement, and consulting o Experience with database software, statistical tools and Excel

Preferred:

• 10+ years experience managing Healthcare Quality programs.
• o 10+ years experience using Lean and Six Sigma to drive process improvement initiatives. o 10+ years experience managing complex project/teams o 8+ years experience in business analysis, process improvement and consulting o Master Black Belt Certification or in the process of obtaining the certification o Experience in working in Department of Defense (DOD) environment.

Key Responsibilities

o Manages the quality program function by coordinating staff workflow and performance outcomes through coaching, training and directing staff. o Serves as the SME for Quality and Healthcare regulations. o Leads efforts to obtain accreditation or re-accreditation by interpreting standards, collaborating with involved departments, and coordinating activities with line managers. o Conducts research and development to support new or revised business processes. Collaborates with the Performance Improvement team to conducts process redesign, current state analysis, data analysis, and new process development. o Innovative thinker who functions as a cross-functional change agent to promote systems thinking, customer focus, and commitment to continuous process improvement. Manages cross-functional projects with broad impact on TriWest. Coordinates issue-identification, current state analysis, and problem resolution.

o Develops detailed business plans for both short and long term objectives. o Develops service-level agreements with business units and measures outcomes. o Functions as a facilitator during organizational change efforts. Coordinates administrative quality data and information for quality memo from Quality Management and Improvement Committee (QMIC) information, minutes and outcomes follow-up. o Performs other duties as assigned. o Regular and reliable attendance is required.

Competencies

Coaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback.

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; Adapt to different styles; Listen critically; Collaborate.

Computer Literacy: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions.

Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources.

Leadership: Successfully manage different styles of employees; Provide clear direction and effective coaching.

Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment.

Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.

Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment.

Working Conditions

Working Conditions:
o Availability to work non-regular hours, including weekend events. o Works within a standard office environment, with minimal travel. o Extensive computer work with prolonged sitting.

Company Overview

Taking Care of Our Nation's Heroes.

It's Who We Are. It's What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®!

Our job is to make sure that America's heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.

Benefits

We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:


  • Medical, Dental and Vision Coverage

  • Generous paid time off

  • 401(k) Retirement Savings Plan (with matching)

  • Short-term and long-term disability, basic life, and accidental death and dismemberment insurance

  • Tuition reimbursement

  • Paid volunteer time

*Annual base salary for Colorado, Hawaii and Washington State residents: $112,000 - $125,000 depending on experience*

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.





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