About this opportunity
LSMA Management, Inc. lists this Director of Quality Improvement opportunity in san bernardino, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
JOB SUMMARY:
The Director of Quality Improvement is responsible for the strategic leadership, development, implementation, and oversight of the organization’s Quality Improvement (QI) Program within a healthcare Management Services Organization (MSO) environment. This role ensures compliance with applicable federal and California state regulations, including DMHC, CMS, and NCQA standards, as well as health plan contractual requirements.
Description
The Director works collaboratively with executive leadership, affiliated Independent Practice Associations (IPAs), medical groups, providers, and health plans to drive measurable improvements in clinical quality, patient safety, access to care, member satisfaction, and population health outcomes. The position requires strong analytical capabilities, regulatory expertise, and leadership skills.
Requirements
MINIMUM & PREFERRED QUALIFICATIONS:
Education/Training
Minimum: Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field.
Preferred: Master’s degree (MPH, MHA, MBA, or related clinical discipline)
Experience
Minimum: Five (5) years of experience in healthcare quality improvement, managed care, or healthcare compliance. Two (2) years of leadership of supervisory experience.
Preferred: Experience within a California MSO, IPA, or health plan environment. Direct experience with HEDIS, CMS Star Ratings, and NCQA accreditation.
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Certification(s)
Preferred: Certified Professional in Healthcare Quality (CPHQ), current California Registered Nursing (RN) License.
Skills, Knowledge & Abilities
Strong knowledge of DMHC, CMS, NCQA, and managed care regulations
Advanced analytical and data interpretation skills
Excellent written, verbal, and presentation communication skills
Ability to influence cross-functional teams and provider networks
Strong organizational, leadership, and project management skills
Proficiency in Microsoft Office and healthcare data/reporting systems
Physical, Mental & Environmental Requirements
The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job, with or without reasonable accommodation. The role requires prolonged periods of sitting, frequent use of a computer, and extensive data analysis. The employee may occasionally be required to stand, walk, bend, and lift items weighing up to 20 pounds. This position includes frequent travel within California, which may comprise up to approximately 50% of the employee’s time, for purposes such as site visits, audits, and meetings. The role also requires the ability to communicate effectively and clearly in person, by telephone, and in written formats, as well as the ability to manage multiple priorities and deadlines in a dynamic, fast-paced healthcare environment.
PAY RANGE
$130,000.00 - $145,000.00 / annually
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Worksite address
san bernardino, CA, 92409, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.