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The Manager of Quality Improvement supports the Senior Manager of Quality Improvement and Accreditation by leading the identification and design of company-wide quality improvement (QI) efforts and provides direction to the implementation of QI efforts through cross-functional work teams, department workgroups and/or other ad hoc teams. This position leads the company in attaining National Committee for Quality Assurance (NCQA) accreditation at the highest level of performance for Medicaid, Medicare and commercial products. This position leads the organization's efforts to obtain the highest level of performance for the RI Medicaid product in the NCQA Medicaid Health Plan Ratings. This position supports the company's efforts for obtaining the Network Plan and the Benefit Determination and Utilization Review Certifications through the Office of the Health Insurance Commissioner. This position supports the Senior Manager of QI and Accreditation in the oversight of delegated activities related to quality improvement and ensures comprehensive oversight and monitoring of the delegate.
Duties and Responsibilities Responsibilities include, but are not limited to, the following:
Required:
Preferred:
Neighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.