Assistant Director QI

3 days ago


Saudi Arabia City of Bloomington, Indiana Full time $75,010 - $150,000 per year

 Work for Indiana

Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.

About the Family & Social Services Administration:
The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social Services Administration, which receives around 18 percent of the state's budget to ensure vital health care coverage to approximately 1 in 4 Hoosiers. OMPP strives to build programs and processes that enable Hoosiers to live in fully engaged communities and reach their greatest emotional, mental, and physical well-being. Our mission is to support individual and community well-being with effective and efficient programs, remarkable collaborations, measurable impact on individuals and communities, and an energized staff that is fully engaged with this mission.

Role Overview: 

As Assistant Director, you will serve as the Director of Quality Improvement (QI), an integral component in serving Medicaid members. This clinical leader will develop, design, implement, and manage performance measurement and improvement projects across all Indiana Medicaid programs. This role is responsible for quality integration in and oversight of managed care entities (MCEs) serving Indiana Medicaid members and providers. You will assist in the development and approval of performance improvement strategies, as well as developing and analyzing techniques for evaluating the efficacy of interventions. Your role ensures quality of care and services are provided to Indiana Medicaid members, achieving positive health outcomes, and serves as a quality of care and service subject-matter expert in health care delivery.   You will oversee managed care entities' (MCE) quality management and improvement functions, HEDIS data and scoring, NCQA Accreditation, Annual Quality Improvement Plans, and member interventions and evaluations. Your role leads and directs all quality management and improvement staff in clinical and non-clinical activities that impact health care quality, equity, and outcomes. This role entails considerable amounts of public speaking, problem-solving, negotiation, collaboration, and requires some in-state travel.  

The ideal candidate will have a Bachelor's degree in nursing, public administration, public policy, public health, or a related program that provides the skills needed to conduct quality interventions, performance improvement activities, and, importantly, the monitoring and evaluation of interventions performed in managed care. A Master's degree is preferred. This candidate will have a current unrestricted RN license from the State of Indiana.  A minimum of three (3) years of experience in public health, health services research, health care quality improvement, or health outcomes research is required. They will have clinical experience in managed care and with National Committee of Quality Assurance (NCQA) Accreditation standards and requirements strongly preferred. A minimum of three (3) years of staff management and evaluation experience is preferred. This candidate will have demonstrable evidence of effective public speaking and be generally familiar with legislative and policy developments at the federal and state levels related to Medicaid.

 
Salary Statement: 

The salary for this position traditionally starts at $75,010.00 but may be commensurate with education or work experience.

A Day in the Life:

The essential functions of this role are as follows:

  • Review and evaluate organizational effectiveness, goal determination, and strategic planning, etc., makes recommendations for improvement.
  • Assist the Director with developing and coordinating plans and policies, resources, and mission as well as goals, vision and expectations of agency or program.
  • Provide guidance to agencies and the public regarding applicable laws and rules.
  • Supervise subordinate personnel including hiring, determining workload, and authorizing assignments, training, monitoring, and evaluating performance, and initiating corrective or disciplinary action.
  • Assist with monitoring agency or program budget including revenues, expenditures, and budget projections.
  • Communicate with news and other media and respond to media questions or requests in an appropriate public relations manner.
  • Coordinate with other government officials on planning issues. 
  • Recruit, select, onboard, and train employees to ensure role responsibilities and expectations are clearly understood while providing opportunities to continue professional development.
  • Set expectation, measure progress, provide ongoing feedback, and evaluate the performance of employees.  Ensure work adheres to quality standards, deadlines, and proper procedures.

The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.

This position is exempt from overtime compensation for additional work hours which may be required to complete essential functions or other assigned work. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report a minimum of 75 hours per pay period of work hours and/or paid leave taken to receive their base biweekly salary.

What You'll Need for Success:

You must meet the following requirement to be considered for employment:

  • Extensive knowledge of agency and/or organizational program(s) and business practices.
  • Extensive knowledge of State programs and resources, public policy, and program evaluation.
  • Ability to develop and/or measure program outcomes.
  • Ability to create and maintain strong working relationships with key public and private government and business leaders.
  • Ability to identify problems, determine accuracy and relevance of information, and use sound judgment to generate and evaluate alternatives and to make recommendations.
  • Ability to work with internal and external customers to assess needs, provide assistance, resolve problems, and satisfy expectations.
  • Outstanding interpersonal skills with the ability to build relationships, establish credibility, and influence leaders at all levels.
  • Make logical, well-informed, and objective decisions. Ability to perceive the impact and implications of decisions.
  • Ability to identify problems. Determine accuracy and relevance of information. Implement sound judgment to generate and evaluate alternatives and to make recommendations.
  • Ability to assign work, set clear direction, and manage workflow.
  • Ability to effectively provide feedback, guidance or corrective action to coach and develop employee skillsets. 
  • Able to perform essential functions with or without reasonable accommodation.
Supervisory Responsibilities/Direct Reports: This role may provide direct supervision for one or more staff members.

Benefits of Employment with the State of Indiana:

The State of Indiana offers a comprehensive benefit package for full-time employees which includes: 

  • Three (3) medical plan options (including RX coverage) as well as vision and dental plans
  • Wellness Rewards Program: Complete wellness activities to earn gift card rewards
  • Health savings account, which includes bi-weekly state contribution
  • Deferred compensation 457(b) account (similar to 401(k) plan) with employer match
  • Two (2) fully-funded pension plan options
  • A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:
    • 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers
    • Up to 15 hours of paid community service leave
  • Combined 180 hours of paid vacation, personal, and sick leave time off
  • 12 paid holidays, 14 on election years
  • Education Reimbursement Program
  • Group life insurance
  • Referral Bonus program
  • Employee assistance program that allows for covered behavioral health visits
  • Qualified employer for the Public Service Loan Forgiveness Program
  • Free Parking for most positions
  • Free LinkedIn Learning access

Equal Employment Opportunity:

The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department



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