|Quality Management Specialist II (Full-time)
10 British American Blvd
Latham, NY 12110
|Responsibilities||ValueOptions® is a health improvement company that serves more than 32 million individuals. On behalf of employers, health plans and government agencies, we manage innovative programs and solutions that directly address the challenges our health care system faces today. A national leader in the fields of mental and emotional wellbeing, recovery and resilience, employee assistance, and wellness, ValueOptions helps people make the difficult life changes needed to be healthier and more productive. With offices nationwide and a network of more than 130,000 provider locations, ValueOptions helps people take important steps in the right direction. We help them live their lives to the fullest potential. We are currently seeking a dynamic Quality Management Specialist II to join our team at our office in Latham, New York. The Quality Management Specialist II coordinates the planning, development, implementation, monitoring and analysis of quality management processes and activities. Position Responsibilities: Coordinates and manages key aspects of both URAC and NCQA regulatory requirements including but not limited to: knowledge of the standards working with the team to meet and/or exceed the standards maintenance of necessary and relevant documentation history completion of NCQA and URAC documentation requirements Conduct audits/internal assessments to ensure compliance with corporate policies, quality management activities and accreditation standards. Prepares written assessment reports, internal document tracking and executive summaries that describe programs, methods, barriers, results, operational strengths, interventions, opportunities for improvement and recommendations. Ensures a comprehensive and analytic document. Provide ongoing support for accreditation survey preparation. Assist in the oversight of organization-wide or service center-wide quality improvement activities. Monitor and analyze performance through data collection, tracking and analysis. Identify improvement opportunities and recommend quality improvement activities. Serves as an internal consultant for organization-wide or service center-wide quality improvement activities including: facilitation and coaching coordination of QIA, surveys, research and other supporting functions use or teaching of QI methods, tools, etc. role model for QM principles and practices Participate in the development and implementation of policies and procedures. Periodically review and revise, as appropriate, QM policies and procedures. Participates on or leads Quality Management Committee or Workgroup activity.
|Qualifications Required||Education: Master’s Degree in one of the following related fields: QM, Psychology, Behavioral Health, Statistics or RN with relevant QM or Managed Care experience Licensures: Nursing (RN) or Social Work (LCSW) with 3 years of UM or QM experience or non-licensed with 5 years of UM or QM experience; CPHQ preferred.
Relevant Work Experience: Previous Quality Management experience
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ValueOptions is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment.
|Job Posted||20 June 2013|
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