Director, Medicaid Outreach & Quality

Corewell Health
United States, Michigan, Grand Rapids
Nov 22, 2024
Job Summary The Director, Health Plan Quality Improvement, is responsible for creating a culture of quality throughout the organization. Accountable for quality improvement work both internal and external to the enterprise, this role provides critical leadership around the design, implementation, and evaluation of innovative projects aimed at improving the health outcomes of populations. Essential Functions Leads cross functional team (clinical, business analytics, quality, etc.) responsible for quality Lead key quality improvement initiatives/projects external to Priority Health Collaborates with the provider engagement team to ensure providers are an activated population to influence quality and to provide the services necessary to maximize the quality results Serves as Priority Health Choice's representative on MDHHS's Quality Committee. Attends other State and Michigan Association of Health Plan meetings as appropriate. Represents Priority Health externally in the area of quality improvement Influence officials, policy makers, program directors to advance quality measures, and other criteria, that will improve Priority Health's position in regards to the quality bonus, consumer guide, and auto assignment algorithm. Provide leadership and direction for VBC and PIP work on quality related matters Qualifications Required Bachelor's Degree or equivalent Business, Marketing, Public Health, Medical 5 years of relevant experience Management Required 5 years of relevant experience Managed Care, strategic planning, project management, population health. Broad experience in directing and getting work done through others. Proven ability to effectively lead cross-functional teams and build processes to deliver results. Required Physical Demands Bilateral Carry > 5 lbs: Seldom up to 10 lbs Unilateral Carry > 5 lbs: Seldom up to 10 lbs Pushing Force > 5 lbs: Seldom up to 10 lbs Pulling Force > 5 lbs: Seldom up to 10 lbs Sitting: Frequently Standing: Occasionally Walking: Occasionally Forward Bend - Standing: Seldom Forward Bend - Sitting: Occasionally Trunk Rotation - Standing: Seldom Trunk Rotation - Sitting: Occasionally Reach - Above Shoulder: Seldom Reach - at Shoulder or Below: Seldom Handling: Occasionally Forceful Grip > 5 lbs: Seldom Forceful Pinch > 2 lbs: Seldom Visual Acuity [None = No; Seldom = Yes]: Seldom How Corewell Health cares for you Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance, pet insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status Primary Location SITE - Priority Health - 1239 E Beltline - Grand Rapids Department Name PH - Population Health and Health Equity Leadership Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 40 Days Worked 5 Weekend Frequency Variable weekends CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling 616.486.7447.