Clinical Quality Program Manager

6 days ago

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WellSky

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1980

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

💰 Private Equity Round on 2020-07

Description

• The Clinical Quality Program Manager will play a crucial role in supporting WellSky’s Utilization Management and Quality Improvement Programs. • The Quality Manager will ensure adherence to relevant state and federal regulatory requirements. • This position focuses on analyzing and presenting data to apply clinical guidance consistently across the organization, enhancing quality standards.

Requirements

• Registered Nurse, Occupational Therapist, or Physical Therapist with a bachelor’s degree in a related field, or a combination of education and experience that includes pertinent clinical experience and an understanding of CMS standards and guidelines. • At least 5 years of relevant experience in healthcare quality management and post-acute care utilization management. • Ability to manage multiple competing priorities and tasks effectively. • Strong written, oral, and interpersonal communication skills. • Demonstrated ability to collaborate with external vendors and clients. • Preferred: Experience with CMS and/or NCQA audits. • Proficiency in manipulating and sorting data for analytics and reporting. • Excellent analytical and data interpretation skills. • Experience in case management in a healthcare setting.

Benefits

• Excellent medical, dental, and vision benefits • Mental health benefits through TelaDoc • Prescription drug coverage • Generous paid time off, plus 13 paid holidays • Paid parental leave • 100% vested 401(K) retirement plans • Educational assistance up to $2500 per year