Quality Improvement Director (Remote U.S.)

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks a Quality Improvement Director to join our growing team.

** This is a full-time, Exempt-level (Salaried), remote-based opportunity with Benefits. **

** Preferred Work hours are: Monday-Friday in the Eastern Time Zone.

Job Summary:

The Quality Improvement Director reports to the Executive Director of Business Quality Management and is responsible for the organization's continuous quality improvement (CQI) model and infrastructure. This includes directing the organizational development, identification, and monitoring of quality Improvement activities, including the design, development, and maintenance of systems for tracking, reporting, and improving performance. These activities support the foundation of the corporate quality management program and systems.

*Position is remote

Job Responsibilities:

• Implements the Company’s continuous quality improvement (CQI) model.
• Ensures the implementation of key performance indicators and develops and maintains systems for tracking, reporting, and improving performance. Directs all quality improvement activities, provides continuous improvement consulting services to internal customers, and employs knowledge of performance improvement strategies, principles, methodology, techniques, and data analysis.
• Develops and implements an organization's total quality management strategy with policies, programs, and initiatives.
• Leads cross-functional teams to study and develop effective tools, methods, and systems to ensure the products and services are of the highest quality.
• Creates standards used to measure quality results and to drive continuous improvements.
• Utilizes Six Sigma/Lean methodologies.
• Promotes awareness of customer requirements throughout the operation. Provides support, including the development of QI training and tools, maintenance of the Process Asset library, consultation for all corporate business owners and local-level quality-related functions, identifying opportunities for quality documentation/ evidence compliance via review of submitted documents, and crosswalk to applicable standards utilizing operational knowledge.
• Provide support and consultation for all corporate business owners and local-level quality-related functions, identifying opportunities for quality documentation/ evidence compliance via review of submitted documents and crosswalk to standards utilizing operational knowledge.
• Maintains the Root Cause Analysis (RCA) service capability according to the approved process.
• Directs and allocates staff to review and analyze audit results and identifies the severity of audit findings or the risk associated with the findings.
• Directs quality improvement project process and defines the scope of the service capability.
• Review and update, as needed, policy, procedure, program descriptions, and report and template edits.
• Support the appraisal and survey processes of the Business Quality Management division (e.g., CMMI, ISO, CMS, and URAC).
• Design, implement, and maintain the Lessons Learned process to support the CQI model.

Requirements

Required Qualifications/Experience:

• Bachelor’s degree OR 5+ years of organizational experience in lieu of education.
• 5+ years of management-level experience (Supervisor or Manager level and above).
• 5+ years working with or implementing organizational infrastructure and quality improvement processes and control of business operations.
• In-depth knowledge of CQI tools, methods, and techniques such as Six Sigma.
• Business Quality Management skills (e.g., change management, communication, team leadership, and analytical/critical thinking).

Preferred Qualifications/Experience:

• Software Development Life Cycle.
• Experience with client payor (Medicare/Medicaid/Commercial/Managed Care) regulations and/or claims processing.
• Project Management or Quality Certification (Must obtain within 1 year of hire date).
• Advanced knowledge of HIPAA and state health/privacy regulations.
• Excellent grasp and understanding of SPC (Statistical Process Control).
• Knowledge of URAC, NCQA, CMMI, or an ISO background.
• Knowledge of the healthcare industry, preferably with experience in both the public and private sectors.
• Advanced verbal and written communication skills and the ability to work with a wide range of constituencies in a community.
• Ability to participate as a team member, fostering collaborative decision-making.
• Read, analyze, interpret, and apply regulatory requirements, contract requirements, internal policies, processes, and technical procedures.
• Ability to translate complex concepts into clear and concise summaries (verbal and written), reports, presentations, and training modules.
• Some domestic travel is required; short and extended travel is possible.
• Proficient in Microsoft Office programs.
• Manage multiple projects on different timelines and at various locations simultaneously.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement you need to achieve the finest work of your career.

Thank You!

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

The pay range for this position is $120,000 - $125,000 annually.

“Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”