Quality, Manager

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company's mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks a Quality Manager to join our growing team.

*Position is remote*

Job Summary:

Responsible for overseeing day-to-day operations of Quality Management or for the development and monitoring of quality monitoring activities. Develop, implement, and monitor our organization's quality and performance improvement activities and clinical outcomes. You will play a key role in supporting both medical and behavioral health departments in delivering high-quality care.

Job Responsibilities:

• Facilitate QA activities, provide continuous improvement consulting services to internal customers, employ knowledge of performance improvement strategies, principles, methodology, techniques, and data analysis.
• Ensure the implementation of key performance indicators and maintains systems for tracking, reporting and improving performance.
• Serve as the primary Subject-Matter Expert (SME) regarding Skilled Nurse-related quality standards required per Federal and Administrative rules and developing effective monitoring tools.
• Review audit results and identify the severity of audit findings or the risk associated with the findings.
• Review and evaluate reported crisis (i.e., highly-urgent service related problem with immediate negative implications for the Company) and assists with the formulate a plan of action for handling the incident/issues based on area of expertise/responsibility.
• Execute QA plans to ensure they meet current and future business requirements (e.g., best practices, quality, volume and product growth, regulatory requirements, & new product introductions).

Required Qualifications/Experience:

• Active RN license or compact state.
• A minimum of 2 years of case management experience.
• Bachelor's Degree in related health care discipline.
• Subject Matter Expert (SME) regarding Skilled Nurse-related

  related quality standards required per Federal and Administrative rules and developing effective monitoring tool.

• Formal training or certification in quality. (CPHQ, ISO, Six Sigma)

Preferred Qualifications/Experience:

• 1+ years of utilization management experience.
• Experience with commercial health plans and/or clinical programs.
• Knowledge of Utilization Review Accreditation Commission (URAC), National Committee for Quality Assurance (NCQA), and/or ISO background.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

Thank You!

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at careers.acentra.com/jobs

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

Please see the pay range for this position (below):

"Based on our compensation philosophy, an applicant's placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."