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Award-winning: Sentara is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering more than 500 sites of care including 12 hospitals, PACE (Elder Care), home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!
Sentara Healthcare is hiring a Manager, Quality Improvement in Virginia!
Position Status: Full-time (40 hours), Day Shift
Standard Working Hours: 8:00AM to 5:00PM (ET).
Position Location: This is a remote position in VA. Will need to go to the office as needed.
Job responsibilities:
The Manager, Quality Improvement at Sentara Health Plans is responsible for the oversight and leadership of all quality, regulatory, accreditation and population health outcomes for multiple product lines or multiple health plans. Oversees a team of Managers leading teams of Quality and Population Health resources. This includes, but is not limited to efforts associated with the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), the Department of Medical Assistance Services (DMAS), the Centers for Medicare and Medicaid Services (CMS) and other required entities associated with or required by the state and/or federal government. Establishes quality performance initiatives impacting outcomes for the populations and recommends quality strategies. Works closely and collaboratively across all Sentara Health Plans and the various departments, at each health plan, to achieve the goals and objectives of the Quality Program.
Required qualifications:
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1 year Project Management experience, 1 year Quality Improvement experience and 3 years Regulatory/Compliance experience REQUIRED
Preferred qualifications:
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Advanced Degree: MBA, MPA, MHA, MSN, NP or other related degree preferred
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Six Sigma Green or Black Belt: Three or more years of Six Sigma application experience preferred
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Certified Professional in Health care Quality (CPHQ): CPHQ Certification preferred
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Nursing degree preferred but not required
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1 year Health Insurance Plans experience, 3 years Medicaid, Medicare, Process Improvement experience preferred
Benefits: Sentara offers an attractive array of full-time benefits to include
Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B , 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks and more.
Sentara Health Plans is the health insurance division of Sentara Healthcare.
Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.
With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-71273
Monster
Talroo – Health Plan
Managed Care, MCO, Health Plan, Healthcare, Project Management, Quality Improvement, Regulatory, Compliance, RN, MBA, MPA, MHA, MSN, NP, Six Sigma Green Belt, Black Belt, Certified Professional in Health care Quality, CPHQ, Medicaid, Medicare, Process Improvement, Remote, Virginia
When you join Sentara in a professional or management role, you become part of a progressive team of business leaders and operational experts. Our organization and our people are highly respected for the knowledge and innovation that we demonstrate each day. Working with us is an opportunity to have a positive influence on our growth and the communities we serve.
Culture In Action
At Sentara, our differences are our strengths. The unique backgrounds, skills, and experiences that each Sentara colleague brings to work are what make Sentara special and what allows us to deliver excellent service and care to our patients, members, and communities.
Sentara prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
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