| Quality Management Manager - Health Plan Job Description |
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| The following is a full job description for Quality Management Manager - Health Plan. Here are the requirements and responsibilities for Quality Management Manager - Health Plan along with statistics. If after reading this page you determine that Quality Management Manager - Health Plan is not the position you are looking for, you may want to try one of these similar titles: Quality Management Manager - Health Plan, Quality Management Director - Health Plan, Quality Management Analyst III - Health Plan, Quality Management Analyst II - Health Plan, Quality Management Nurse - Health Plan, Quality Management Nurse, Sr. - Health Plan, IT Project Management and Delivery Manager, IT Change Management Manager, IT Change Management Senior Manager, Change Management Manager |
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| Requirements and Responsibilities For Quality Management Manager - Health Plan |
| Manages the evaluation and improvement of healthcare quality and member outcomes. Analyzes clinical and operational data to identify trends, gaps, and opportunities for quality enhancement. Leads reporting on quality metrics, regulatory compliance, including NCQA requirements, and performance improvement initiatives. Requires a bachelor's degree. Typically requires a Registered Nurse (RN) license. Typically reports to a director. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. |
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| Also referred to as: Clinical Quality and Compliance Manager - Health Insurance, Clinical Quality Management Manager - Health Insurance |
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| Similar Jobs: Quality Management Manager - Health Plan, Quality Management Director - Health Plan, Quality Management Analyst III - Health Plan, Quality Management Analyst II - Health Plan, Quality Management Nurse - Health Plan, Quality Management Nurse, Sr. - Health Plan, IT Project Management and Delivery Manager, IT Change Management Manager, IT Change Management Senior Manager, Change Management Manager |
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| Level of Education: Quality Management Manager - Health Plan Salaries with No Diploma, Quality Management Manager - Health Plan Salaries with a High School Diploma or Technical Certificate, Quality Management Manager - Health Plan Salaries with an Associate's Degree, Quality Management Manager - Health Plan Salaries with a Bachelor's Degree, Quality Management Manager - Health Plan Salaries with a Master's Degree or MBA, Quality Management Manager - Health Plan Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
