University of Utah Health Care

Returning Candidate?

Manager, Quality Improvement - Health Plans

Manager, Quality Improvement - Health Plans

Requisition Number 
27087
Reg/Temp 
Regular
Employment Type 
Full-Time
Shift 
Day
Work Schedule 
Days
Location Name 
University of Utah Health Plans
Patient Care? 
..
City 
Murray
State 
UT
Department 
UIP ENT 01H EMPLOYEE PLAN
Category 
Case Management

More information about this job

Overview

As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA

This position is responsible for managing and implementing the quality management and quality improvement programs for the assigned area. The incumbent oversees quality assurance and compliance functions, ensuring that programs and services are implemented at the highest standards and patients receive the highest level of care. They are also responsible for monitoring and updating policies and procedures to include regulatory changes.

Responsibilities

Job Specific Responsibilities and Accountabilities

  • Performs to required standards for job specific responsibilities and technical competencies.

Talent Management

  • Hiring, training, developing, and communicating with staff.

Financial Management

  • Responsible for developing, monitoring and achieving budget goals.
  • Manages labor and non-labor expenses to budget or flex budget.
  • Manages revenue to budget to maximize potential revenue.

EPE/Service

  • Responsible for patient satisfaction scores within assigned area(s).
  • Responsible for upholding PROMISE standards of direct reports and team members.

Quality

  • Responsible to achieve quality goals for assigned area(s).
  • Manages and promotes continuous process improvements in assigned area(s).

Performance Management

  • Responsible to provide staff feedback on performance, including on-time appraisals and coaching.
  • Responsible to deal with conflicts in a proactive manner and to reach resolution in a timely manner.

Building Relationships

  • Forms positive relationships with staff, peers, and senior leadership to support the mission, vision, values, and performance standards of the organization.
  • Actively engages staff with updates and news as well as involving staff in decisions and work teams. Provides feedback and recognition when appropriate.

Knowledge / Skills / Abilities

  • Ability to perform the essential functions of the job as outlined above.
  • Demonstrated leadership skills in planning, and directing employees and processes, in order to effectively monitor and develop subordinates, to ensure the smooth operation of the department.
  • Knowledge of assigned department’s area of specialization in order to analyze, plan, and draw conclusions for recommendations to superiors.

Qualifications

Qualifications

Required

  • Bachelor’s degree in a related area of assignment, or equivalency.
  • Four years or more progressively responsible management experience.
  • Previous healthcare and/or data quality improvement experience.

Qualifications (Preferred)

Preferred

  • Master’s degree in Health Care Administration, Business Administration or related area, or equivalency.
  • NCQA and HEIDIS experience 
  • Familiar with Health Plan regulatory requirements
  • CPHQ Certification 

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

  • This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Sitting, Standing, Walking