What are the responsibilities and job description for the Program Director, Quality & Compliance position at SCAN Health Plan?
Description
Quality Improvement Work Plan,
- Quality Program and Work Plan Evaluation and Compliance program in support of the organization’s mission and goals.
- Ensure Quality Improvement program is in compliance to meet or exceed regulatory and quality standards including but not limited to : Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), and accreditation bodies’ standards such as the National Committee for Quality Assurance (NCQA).
- Partner with business areas to operate in a manner that is consistent with continuous quality improvement
- Articulate vision, goals and objectives for the organization, especially as it relates to the assigned program. As a self-starter drive strategic projects and ensure deliverables are aligned with the organization’s larger strategy.
- Manage the execution of strategies through program design and implementation, ensuring strategic alignment with executive-level partner(s).
- Manage multiple projects and assignments under the umbrella of the associated program (that are cross-functional and multi-disciplinary), serving in a project leadership capacity. Assemble project teams, collaborate on individual responsibilities, develop project schedules, and determine resources needed to achieve milestones and overall objectives / outcomes.
- Ensure change management feasibility, plan and implement accordingly. Develop effective communication strategies to facilitate initiative rollout. Deliver notifications and program / project updates to affected parties. Keep internal and external stakeholders informed of progress, challenges, and barriers.
- Identify and manage risks associated with individual projects and overall program, develop and implement mitigation strategies to remove barriers.
- Plan, monitor, and adapt program success based on outcomes. Develops and oversees policies and processes for operational efficiency and program quality.
- Facilitate senior management decision making by analyzing strategic alternatives and developing recommendations.
- Other duties as assigned.
Your Qualifications
What's in it for you?
Salary : $125,400 - $200,600
