Loading...
Share this Job
Apply now

Apply for Job

Manager of Quality Improvement

Quality and Credentialing 
Full Time
Regular 
Day Shift 
8-4:30

Voted one of South Carolina’s “Best Places to Work” for 2019, the Lexington Medical Center Physician Network includes more than 450 physicians and advanced practice providers at 75 locations across the Midlands.

From general medicine and orthopedics to oncology and neurosurgery, these dedicated physicians, specialists and surgeons combine the highest quality care with advanced medicine and state-of-the-art technology to help patients achieve the best possible outcomes.  As the third largest employer in the Midlands, we invite you to be a part of our ongoing success and join our LMC Family.
 

Job Summary

The position supports ambulatory quality initiatives within Lexington Medical Center's physician practices and manages projects related to quality along with patient safety that align with the strategic vision of Lexington Medical Center. The manager will partner with operational stakeholders in the design of quality management projects that ensure clinical effectiveness, improve clinical outcomes and achieve quality performance goals within LMC's physician practices. This position also supports LMC's compliance with state and federal regulations for clinical care in the ambulatory setting. The manager is responsible for the training and assignment of staff to projects and monitors progress in order to meet organization objectives.

Minimum Qualifications

Minimum Education: Bachelor's Degree in Healthcare Administration, Nursing, Business or related field or a Master's Degree in Healthcare Administration (MHA), Public Health (MPH), Nursing (MSN), Business (MBA) or related field
Minimum Years of Experience: 3 years experience working with Quality Management Programs and/or healthcare regulations/standards;

3 Years of supervisory or management experience in a health care setting;

3 Years of experience working directly with EHR systems with a preference for EPIC EHR.

(The above years of required experience can be concurrent)
Substitutable Education & Experience (Optional): 1 Year of administrative fellowship training can substitute for 1 year of the required supervisory experience/management experience.
Required Certifications/Licensure: Certified Professional in Health Care Quality (CHPQ) within 12 months of start date.
Required Training: None.

Essential Functions

  • Develops and maintains expert knowledge in quality management areas including: CMS quality programs, NCQA programs, and other best practice care models, policies, processes and application requirements.
  • Collaborate with physicians, APPs and operational stakeholders in the design and implementation of clinical best practices to help physician offices provide the best clinical care for patients, maintain compliance with regulatory requirements and achieve strategic quality initiatives.
  • Provide management support to ambulatory peer review, care coordination and diabetic management staff.
  • Support clinical and Epic EMR training programs to ensure alignment with organizational "culture" and regulatory requirements.
  • Oversee and develop policies and procedures necessary for areas supervised.
  • Collect, integrate and evaluate diverse data related to positioning the clinical and operational performance areas for transformational activities related to programs supervised.

Duties & Responsibilities

  • Research, gather, and report regularly health-related data to meet requirements of programs and funding agencies.
  • Partners with the LMC decision support to ensure accurate quality performance management and HEDIS data is correctly submitted to payers.
  • Partner with operational stakeholders to improve performance for HEDIS measures where needed in physician offices.
  • Coordinate LMC’s ambulatory Quality Improvement Plan for the physician practices, monitor performance, and generate reports that demonstrate outcomes. 
  • Analyzes performance measure data received from payers for risked-based contracts and makes recommendations for improvement.
  • Provide regular program updates to evaluate ongoing program needs.
  • Performs all other duties as assigned.

We are committed to offering quality, cost-effective benefits choices for our employees and their families:
Day ONE medical, dental and life insurance benefits 

  • Health care and dependent care flexible spending accounts (FSAs)
  • Employees are eligible for enrollment into the 403(b) match plan day one.  LHI matches dollar for dollar up to 6%.
  • Employer paid life insurance – equal to 1x salary
  • Employee may elect supplemental life insurance with low cost premiums up to 3x salary 
  • Adoption assistance
  • LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
  • Tuition reimbursement
  • Student loan forgiveness

Equal Opportunity Employer
It is the policy of LMC to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. LMC strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. LMC endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.
 


Nearest Major Market: Columbia
Nearest Secondary Market: South Carolina

Apply now

Apply for Job