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Johns Hopkins Medicine
Hanover, MD | Full Time
$117k-147k (estimate)
4 Months Ago
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Manager, Quality Assurance
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$117k-147k (estimate)
Full Time 4 Months Ago
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Johns Hopkins Medicine is Hiring a Manager, Quality Assurance Near Hanover, MD

Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here.

What awaits you:

  • Work-life balance - This is a hybrid role requiring you to work 1 day per week in the Hanover, MD office!
  • Medical, Dental, and Vision Insurance.
  • 403B Savings Plan w/employer contribution.
  • Paid Time off & Paid holidays.
  • Employee and Dependent Tuition assistance benefits.
  • Health and wellness programs and MORE!

What you’ll do :

  • As the Manager of Quality Assurance, you are responsible for ensuring adherence to high-quality standards through effective Quality Assurance (QA) practices and oversight.
  • You’ll develop, implement, and manage processes to ensure successful completion of monthly audits for all internal stakeholders in various departments including Customer Service, Advantage MD, Provider Maintenance, Utilization Management, Care Management, Appeals, and other Operations and Health Services teams.
  • Communicate quality standards and parameters, address all customer feedback, collaborate cross-functionally, analyze data, and maintain compliance with regulatory and organizational guidelines.
  • Support Clinical QA Analysts, serving as leader and coach and providing regular guidance and feedback on performance while motivating staff to achieve superior results.
  • Assist the Sr. Director in ensuring a consistent experience for all teams receiving support from the department.

What you’ll bring:

  • Current RN licensure in the state of MD (or multi-state compact license).
  • 5 years in acute healthcare and managed care. Must be well versed in NCQA, CMS, and State Mandated Quality Measures.
  • 2 years of knowledge and experience in utilization management, medical necessity review, and clinical documentation with quality auditing experience required.
  • 3 years of supervisory or management experience required

Who we are:

Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth.

Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve.

Job Summary

JOB TYPE

Full Time

SALARY

$117k-147k (estimate)

POST DATE

01/28/2024

EXPIRATION DATE

05/22/2024

WEBSITE

csurg.jhmi.jhi.edu

HEADQUARTERS

Baltimore, MD

SIZE

<25

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Johns Hopkins Medicine
Full Time
$83k-104k (estimate)
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The following is the career advancement route for Manager, Quality Assurance positions, which can be used as a reference in future career path planning. As a Manager, Quality Assurance, it can be promoted into senior positions as a Quality Assurance Senior Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Manager, Quality Assurance. You can explore the career advancement for a Manager, Quality Assurance below and select your interested title to get hiring information.

If you are interested in becoming a Manager Quality Assurance, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Manager Quality Assurance for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Manager Quality Assurance job description and responsibilities

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Manager Quality Assurance jobs

When a product lacks quality, the customers are not happy and the business can suffer.

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Develop and Maintain Evaluation Forms.

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Trained employees will be prepared to face problems and, therefore, can resolve them as soon as they occur and sometimes even before the customer can perceive the error.

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Acquire quality assurance knowledge of tools and methodologies.

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