Bachelor's Degree required.
A minimum of 7 years outcome, oriented experience in healthcare operations with 5 years quality management experience within a large to midsize health care system.
Clinical License or Designation required.
Knowledge of current healthcare legislation and policies, patient safety protocols, quality improvement methodologies, financial/reimbursement trends, and regulatory standards to minimize potential compliance risks, sanctions, and/or financial penalties.
Ability to analyze, interpret, and communicate metrics/complex quality and financial data in a clear, concise manner to a number of different audiences/key stakeholders representing a variety of care settings.
Experience identifying quality performance drivers relevant to related penalties and reimbursement, creating action plans and producing measurable results to reduce penalties and obtain reimbursement.
Possesses experience working with Electronic Medical Record builds and clinically relevant report creation to improve clinical documentation, data capture, and clinical workflows to reduce PSIs, HAIs, CMS complications, mortality, readmissions, and improve HCAHPS.
Experience with regulatory agency investigations related to patient complaints, implant or equipment recalls, agency reporting requirements, and appropriate response resulting in remediation and implementation of processes that mitigate future safety events.
Knowledge of and experience with continuous process improvement methodologies and tools.
Ability to apply change management strategies and methods in support of an array of quality initiatives.
Possesses clear understanding and experience regarding the deployment of care coordination strategies, interventions, and tactics to improve both efficiency and quality.