Quality Manager (Remote - Nc)

Quality Manager

• Are you motivated, energetic, and excited to become part of the Kepro team?
• Do you value care management and quality improvement?
• Are you an experienced Quality Manager looking for a new challenge?

If so, you might be our next new team member!

Note: (Remote Opportunity - Must reside in North Carolina)

Who we need:

The Quality Manager oversees day-to-day operations of the Quality Management Program, including the design, development, and oversight of quality monitoring activities. The Quality Manager maintains current information on clinical practice guidelines, health tech assessments, research studies, policies, and recommendations for expert medical testimony; maintains a policy library; develops, coordinates, and implements testing and quality assurance measures and activities; monitors testing and quality assurance policies, processes and procedures; and prepares and submits reports and deliverables on time as required.

Why us?

Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting.

People Focused. Mission Driven.

Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise.

We do this through our people.

At Kepro, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and we provide the training and support to do the best work of your career.

Benefits are a key component of your rewards package at Kepro. These benefits are designed to provide you and your family additional protection, security, and support for both your career and your life away from work. They are comprehensive and fit a variety of needs and situations. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.

What you’ll do:

• The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.
• Reviews audit results and identify the severity of findings or the risk associated with the findings to ensure the appropriate level of action is taken to eliminate non-conformance.
• Hires, trains, and leads team of QA staff to meet contract objectives.
• Utilizes measurable indicators and outcome measurements to determine whether the desired organizational results are achieved.
• Plans, coordinates, and directs quality assurance program designed to ensure continuous quality of products consistent with established standards and customer requirements.
• Assists with the activities associated with the implementation and compliance with accreditation standards requirements.
• Tracks or follows up on corrective action plans to ensure completion of all items in the specified time frame.
• Establishes key performance indicators and maintains systems for tracking, reporting and improving performance.
• Oversees and facilitates all QA staff, QA activities, provides continuous improvement consulting services to internal customers, employs knowledge of performance improvement strategies, principles, methodology, techniques, and data analysis.
• Review and evaluate reported crisis (i.e., highly urgent service-related problem with immediate negative implications for the Company) and formulate a plan of action for handling the incident/issues based on area of expertise/responsibility.

What you’ll need:

Qualifications

• Ability to prioritize and manage multiple projects.
• Ability to lead a team of Quality Specialists and Appeals Specialists.
• Ability to take initiative, provide leadership, maintain confidentiality, meet deadlines and work in a team environment.
• Formal training or certification in quality preferred (CPHQ, ISO, Six Sigma).
• Knowledge of Microsoft software applications (Word, Excel, PowerPoint, Access).
• Knowledge of CQI tools, methods, and techniques such as Six Sigma, or Lean Manufacturing.
• Minimum of 2 years of Quality Management experience in a health-related field.
• Experience identifying organizational needs and recommending the appropriate improvements to increase organizational effectiveness.
• Excellent communication (verbal and written), organizational, presentation, and interpersonal skills required.
• Bachelor’s Degree in related health care discipline is required.
• Quality management and/or compliance experience required.
• Analytical skills with an ability to objectively evaluate data.
• Knowledgeable and skilled in applying clinical knowledge to contract and policy requirements.
• Knowledge of URAC, NCQA &/or ISO background a plus.

Experience

Knowledge, Skills, Abilities

Thank You!

We know your time is valuable and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Kepro and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Kepro Talent Acquisition Team

Mental And Physical Requirements

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 will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

EOE AA M/F/Vet/Disability

Kepro 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 status as a protected veteran.