Manager, Quality Assurance

Manager, Quality Assurance

Full-Time

Salary Range: $75,00-$120,000

Schaumburg, IL

Benefits Include:Medical, Dental and Vision Coverage; 401(k); Healthcare Savings Account; Generous PTO Package; Health and Wellness Perks Program

Directs and oversees all activities associated with the development and implementation of clinical pathways. Develops and executes continuous quality improvement programs that are in partnership with third party payors. Guides the medical leadership of the practice and promotes clinical care improvement. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

-Establishes priorities for continuous quality improvement programs with the assistance of Network management.
-In concert with the Medical Director and medical leadership, develop and implement clinical practice pathways.
-Assists Network Management and Medical Director in meeting regulatory and statutory requirements by providing standardized and customized statistical data.
-Responsible for trending, researching, analyzing, and presenting statistical data.
-Oversees, implements, and reinforces the quality standards that the practice has set.

-Supports Internal performance improvement initiatives: Ad hoc workgroup participation, CVP Compliance

-Oversees the MIPS management and programs for eligible patients.

-Responsible for Enhancing Oncology Model (EOM) and Commercial VBC program management - Evaluation, Implementation, and Optimization

-Maintains the QOPI Certification: Manages policy creation/maintenance for chemotherapy prescription, administration, and monitoring workflows; Monitors policy and procedure compliance; manages required data abstractions (annual); manages recertification process (every 3 years)

-Provides ACHC Support/Compliance: Quality representation for MID Compliance and Performance Improvement Program per ACHC Standards, Support MID Pharmacist in meeting Compliance and Performance Improvement Standards

-Maintains ISMIE Assessment coordination

MINIMUM QUALIFICATIONS : Bachelor's degree in Nursing or related healthcare, business, or related field. Minimum seven years experience in quality assurance, statistical analysis, or healthcare management, including at least three years in a supervisory capacity.

PHYSICAL DEMANDS : The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires sitting for long periods of time. Some bending and stretching required. Adequate finger dexterity and feeling to perform keyboarding and substantial repetitive motions involving the wrists, hands and/or fingers. Requires vision and hearing corrected to normal range. Must be able to view computer screen and printed material accurately. Occasionally lifts and carries items weighing up to 40 lbs.

WORK ENVIRONMENT : The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work environment is typical of an office setting.