Quality Leader/Director-Healthcare/Health Plan

Location: Concord, CA
Date Posted: 09-30-2018
We are pleased to present the following job opportunity with our client!  Take a look and if you meet the requirements please submit your resume and we'll be in touch if you're a good fit!

Job description
 Responsible for the strategic development, planning & control of health plan & hospital's quality programs & for leading the implementation of compliant programs at the facility, including associated alliance hospitals & other facilities. Facilitates the development of programs & processes that meet regulatory requirements. Focuses on organization-wide systems & processes for improvement, including clinical quality Mgmt, risk Mgmt, AR&L & patient safety activities, in collaboration w/clinical & administrative personnel. Oversees & facilitates internalization & monitoring of Regional Sub-regional Srvs. Ensures practitioner review & oversight meets internal standards. Responsible for quality program oversight, associated medical staff issues, member concerns & grievances to ensure submission to accreditation & regulatory bodies are timely & accurate; & ensures that processes supporting submissions are reliable. Facilitates health plan assessment of quality programs at the medical center including MDQR. Develops strong collaborative leadership relationships, external regulatory agencies, accreditation bodies, employer groups. 
Essential Functions:
• Establishes appropriate Hospital/Health Plan oversight through partnership, the medical center executive leadership team & Depts. Leads quality & patient safety efforts related to the implementation of electronic medical records. In conjunction w/the Assistant Administrator for Patient Care Srvs & leadership, develops & drives performance improvement activities that are cost-effective & efficient.
• Responsible for leading the design of reliable systems that support evidence based optimal care in both hospital & non-hospital setting, implements & monitors disease Mgmt programs & processes across the continuum of care.
• Monitors & assesses clinical quality & srv trends, external environment & internal practices, & makes recommendations to develop/adjust strategy to meet the changing business & market conditions.
• Supports & oversees the use of evidence based guidelines, criteria & other clinical tools to reduce variation in clinical practice & to optimize clinical outcomes. Evaluates performance through the development/maintenance of statistical processes, control charts & regulatory databases. 
• Ensures that facility policies, practices, & procedures comply w/administrative, legal & regulatory requirements of health plan, health plan contracts & governmental & accrediting agencies. Identifies new legislations' effect on Hospital/Health Plan & leads programs that ensure alignment w/new legislation.
• Accountable for comprehensive infection control programs for surveillance prevention, data analysis & reporting, & control of infections across hospital, medical group, & environmental support Depts & serves as liaison for infectious disease & the Dept of public health.
• This job description is not all encompassing.
Preferred Qualifications:
• Clinical license such as RN or Pharm. D preferred.

• Minimum ten (10) years of experience in clinical and management roles in a health plan or multi-faceted health care system and multi-provider settings.
• Master's degree in business, health care, public administration or related field.
Very competitive salary and benefits!
Great company to work for!
Full relocation package is available!
Don't miss out! Apply now and we'll be in touch immediately with more specific details, salary information and to answer any questions!!

This position does NOT provide sponsorship so please do NOT apply if you require sponsorship.  Thank You

KP Recruiting Group 
"Bringing Talent to the Marketplace"

KP Recruiting Group is a well established and very respected recruiting firm.  We have built a strong reputation as a premier resource for providing highly qualified candidates for our clients.  We are very experienced in many industries and have a wide range of clients.  We will serve as your advocate during your career search!  Let us do the work for you!  There is never a fee for our services!

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