Talent.com
Cook Children's
Manager, Quality Improvement-Health PlanCook Children's • Fort Worth, TX, United States
No longer accepting applications
Manager, Quality Improvement-Health Plan

Manager, Quality Improvement-Health Plan

Cook Children's • Fort Worth, TX, United States
30+ days ago
Job type
  • Full-time
Job description

Manager - Quality Improvement

Location: Calmont Operations Building

Department: Quality

Shift: First Shift (United States of America)

Standard Weekly Hours: 40

Summary: The Manager - Quality Improvement ("MQI") oversees the Quality Improvement Program of Cook Children's Health Plan (CCHP). The MQI is charged with staff guidance and supervision, state and regulatory quality compliance, HEDIS reporting activities, quality improvement initiatives, quality of care measurement and outcomes, policy and procedure development, and internal and external quality reviews. The MQI is a leader and a subject matter expert in improving HEDIS performance and continuous quality improvement. The MQI regularly interacts with employees at all levels of CCHP and Cook Children's Healthcare System in collaboration with CCHP members, providers and assigned vendors.

Qualifications:

  • Bachelor's Degree in a related field from an accredited college or university required. Bachelor's Degree in Nursing is preferred.
  • 4 years' experience working with Medicaid, quality improvement, risk management, or care management, including at least 1 year of management experience is required.

Knowledge Skills & Abilities:

  • Proficient in HEDIS Project Management, coordination, and data collection.
  • Administration and Management Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership techniques, production methods, and coordination of people and resources.
  • Business Acumen - the ability to understand and deal with various business situations in a way that is likely to lead to a positive outcome, seeing the bigger picture, anticipating challenges, and identifying opportunities for growth and improvement.
  • Coaching and Developing Others Identifying the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills.
  • Communicating Communicating effectively orally and in writing as appropriate for the needs of the audience, expressing or exchanging ideas through verbal communications.
  • Medical Principles - Knowledge of and ability to apply professional medical principles, procedures, and techniques.
  • Technology - Demonstrated proficiency with technology platforms, for example, Microsoft Office Suite (Excel, Word, PowerPoint).

Licensure, Registration, and/or Certification

  • Certified Professional in Healthcare Quality (CPHQ) required.

About Us:

Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Create a job alert for this search

Manager, Quality Improvement-Health Plan • Fort Worth, TX, United States

Similar jobs

Warehouse Quality Control Specialist

TradeJobsWorkforce76137 Fort Worth, TX, US
Full-time

As a Warehouse Quality Control Specialist, you will be responsible for assisting with warehouse operations and ensuring smooth logistics, including: organize inventory and ensure items are stored p... Show more

 • Promoted

Lead Data Reviewer (Fort Worth, TX)

Smith & NephewFort Worth, TX, United States
Full-time

Lead Data Reviewer (Fort Worth, TX) Life Unlimited.At Smith+Nephew we design and manufacture technology that takes the limits off living.The Lead Data Reviewer is responsible for the accurate and c... Show more

 • Promoted

Globality Bid - Performance Specialist - Smithfield RI - Bid Due: 3/13/25

Software Technology, Inc.Roanoke, TX, United States
Full-time

Manager, Performance Specialist.We are seeking a motivated, analytical, and collaborative individual to join the Performance Measurement & Analysis (PMA) product areas Performance Specialist Team.T... Show more

 • Promoted

Medical Courier

Blue Collar StaffingAlvarado, TX
Full-time

We're looking for a reliable and professional Medical Courier to transport time-sensitive medical materials — including lab specimens, pharmaceuticals, medical equipment, and patient records — betw... Show more

 • Promoted

Purchasing Manager

Thorndale PartnersFort Worth, TX, United States
Full-time

Compensation: $85,000 - $110,000 Base, plus Bonus, Benefits on day 1.Location: Dallas-Fort Worth, TX.We are looking for a Purchasing Manager that will be responsible for managing and directing all ... Show more

 • Promoted

Food Service Manager

TradeJobsWorkForce76179 Fort Worth, TX, US
Full-time

Hire, train, oversee, and sometimes fire employees Order food and beverages, equipment, and supplies Oversee food preparation, portion sizes, and the overall presentation of food Inspect supplies, ... Show more

 • Promoted

Registered Nurse, Home Health Per Diem

CenterWell Home HealthCleburne, TX, United States
Full-time

Become a part of our caring community and help us put health first As a Home Health Registered Nurse, you will: * Provide admission, case management, and follow-up skilled nursing visits for home... Show more

 • Promoted

Leadership Advancement Program

BioLife Plasma ServicesFort Worth, TX, United States
Full-time

By clicking the Apply button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Taked... Show more

 • Promoted

Shift Manager

McAlister's DeliNorth Richland Hills, TX, US
$13.00 hourly
Full-time

Looking for a career where you can expand your knowledge in the restaurant industry with opportunity for management and leadership growth? At McAlister’s Deli, we want to hire, work with, and devel... Show more

Plan Review Manager

Fox Energy Specialists a Division of The Nelrod CompanyFort Worth, TX, United States
Full-time

Fox Energy Specialists is a seeking organized and self-motivated candidates to manage the daily operation of Plan Review Department.The Plans Review Manager ensures energy modeling plan review comp... Show more

 • Promoted

Shift Leader

WingstopCleburne, TX, US
$13.25 hourly
Full-time

Now Hiring: Shift Leader (Hourly).Restaurant General Manager (RGM).This includes managing staff, ensuring an excellent guest experience, maintaining food quality, and ensuring the restaurant operat... Show more

General Manager

Pizza HutCleburne, TX, US
Full-time

The Restaurant General Manager has overall responsibility for the day to day operations of the assigned restaurant, including: sales building, inventory and labor controls, quality of product and s... Show more

Demand Generation Manager (Remote)

KrowNorth Richland Hills, TX, United States
Remote
Full-time

Demand Generation Manager (Remote)Krow provides next generation professional services automation (PSA) that is easy to use and deploy and built on the leading cloud platform from Salesforce.Our PSA... Show more

 • Promoted

Make Ready

Asset LivingCleburne, TX, US
Full-time +1

Asset Living is a third-party management firm and a proven partner in fostering thriving communities nationwide.Founded in 1986, Asset Living has decades of experience delivering exceptional value ... Show more

Supply Chain - Material Program Manager - Level 3

NavstarFort Worth, TX, United States
Part-time

Aeronautics Supply Chain Team Member.At Lockheed Martin we are committed to shaping the future of aviation! Our Aeronautics Supply Chain team is passionate about delivering innovative, affordable, ... Show more

 • Promoted

Remote - Clinical Review Manager

Lancesoft IncNorth Richland Hills, TX, United States
Remote
Full-time

Job DescriptionJob DescriptionWe are seeking a Clinical Review Manager to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients.Job Description :T... Show more

 • Promoted

Globality Bid - Performance Specialist - Smithfield RI - Bid Due: 3/13/25

SamprasoftRoanoke, TX, United States
Full-time

Manager, Performance Specialist.We are seeking a motivated, analytical, and collaborative individual to join the Performance Measurement & Analysis (PMA) product areas Performance Specialist Team.T... Show more

 • Promoted

Project Manager - Healthcare - Remote - Remote

AssistRxFort Worth, TX, United States
Remote
Full-time

Project ManagerThe Project Manager will be a member of the PMO Team, reporting to the Director of Program Management.The PMO Team leads client software implementation projects and works closely wit... Show more

 • Promoted

Travel Cath Lab Tech - $1,783 to $1,932 per week in North Richland Hills, TX

AlliedTravelCareersNorth Richland Hills, TX, US
$1,783.00 weekly
Full-time

Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Cath Lab Tech position in North Richland Hills, TX.If you are interested in this position, please co... Show more

 • Promoted

Team/Crew Leader

SonicKeller, TX, US
Full-time

This position performs, leads, and supervises basic operational duties to provide quality products and service to guests.Perform, lead, and supervise station duties (fountain & frozen, dresser, fro... Show more