25 Manager of Quality and Risk Jobs in Austin, TX
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Manager of Quality and Risk
$123k-158k (estimate)
Full Time
2 Months Ago
Planned Parenthood is Hiring a Manager of Quality and Risk Near Austin, TX
Application: https://careers-ppgt.icims.com/jobs/2211/manager-of-quality-and-risk/job
Position Title: Manager of Quality and Risk
Position Title: Manager of Quality and Risk
Location: Dallas, TX (North) or Austin, TX (South) or Fort Worth, TX (Southwest) or Waco, TX
Reports To: Vice President of Quality and Risk Management
Supervises: Risk, Quality and Training Specialists
Employment Status: Full-time, Exempt
Grade: E-6
Summary:
- The Manager of Quality and Risk provides oversight for the quality and risk management functions at Planned Parenthood of Greater Texas (PPGT).
- Supervises efforts for the risk and quality department to include developing policies, audits and corrective action plans for all departments.
- Develops and executes informative and motivating annual regulatory training programs.
- Performs quality and risk management evaluation and analysis to ensure compliance with organization standards and regulatory requirements.
- Evaluates data from the organization; analyzes data for patterns and trends in health care delivery; and determines root causes for specific trends.
- Ensures customer service and compliance standards are maintained.
- Abides by the organization’s mission in performing job duties. Demonstrates an understanding of and commitment to quality healthcare and excellent customer service.
Essential Job Functions and Expectations:
- Manages the development, implementation and analysis of quality and risk measurement methodologies and performs audits to ensure compliance with regulatory agencies to include the preparation of patient or data lists, review of audit criteria, creation of excel spreadsheets and formulas to calculate the compliance rate; and prepares written reports of the audit. Creates and manages corrective action plans indicated by audit results. Facilitates process improvement activities. May participate in root cause analysis (RCA) activities.
- Ensures non-medical audits are completed and that controls are established to identify risk exposure in all affiliate departments, including but not limited to: cash handling, expense reimbursement, purchasing, non-clinical contract approval, Information Technology (IT), Health Insurance Portability and Accountability Act (HIPAA), facility maintenance and security, training records, and drug inventory management. Ensures the creation or revisions of PPG policies and procedures as indicated by audit results. Completes process improvement activities as indicated.
- Monitors, maintains, revises, and creates agency policies relating to medical services such as Medical Standards and Guidelines (MSGs), Continuous Quality Improvement (CQI) manual, Safety and Infection Control manual, Laboratory manual and other departmental manuals.
- Provides oversight of data analysis of affiliate incident reports (IRs) and ensures accurate tracking of IRs. Prepares and analyzes quarterly incident and complication reports evaluating trends in incident type, location, region, and/or type of violation. Monitors reports for patterns and alerts management as appropriate. May complete external reports as required.
- Ensures compliance with regulatory agency and grantors relating to clinical services requirements including but not limited to Occupational Safety and Healt Administration (OSHA), Clinical Laboratory Improvement Amendments (CLIA), Planned Parenthood Federation of America (PPFA), Elements of Performance (EOPs), Affiliate Risk Management Services (ARMS), Health Insurance Portability and Accountability Act (HIPAA), Department of State Health Services (DSHS), Title X and other funding sources.
- Designs and delivers training curriculum, course content, and materials for trainings required by regulatory agencies; responds to development requests from other departments.
- Produces timely and accurate reports upon request within PPGT or to PPFA regulatory agencies as needed.
- May process medical record requests.
- Has unrestricted access to patient protected health information (PHI) on paper and electronic forms health records for purposes of treatment, payment, and/or healthcare operations. The use of a patient’s protected health information should be limited to information needed for the specific task that is being performed or requested by the individual patient. Disclosure of any patient information must be for purposes of treatment, payment or healthcare operation OR must be accompanied by a valid patient authorization. Must adhere to minimum necessary rule.
- Other related duties as assigned.
- Duties and responsibilities may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing.
Minimum Education/Experience:
- Bachelor’s degree 1 year of related exempt experience or Associate’s degree 5 years of related exempt experience or High School diploma or equivalent 9 years of related exempt experience. Related exempt experience in any of the following: quality assurance, risk management, health center/clinic management.
- Must have some demonstrated experience in quality process and improvement.
- Must have some leadership or supervisory experience. Healthcare industry experience preferred.
- Must have advanced Microsoft Excel skills including formulas, data management and complex Excel features.
Preferred experience:
- Audit, process improvement, policy implementation, and quality data analysis.
Required Licenses or Certifications:
- Notary preferred
Agency Standards:
- Must have excellent computer skill with knowledge of Microsoft Word, Excel, PowerPoint, Outlook, and Internet. Must have the willingness and ability to adapt to change including advances or new technology. Must have excellent customer service skills and be committed to providing the highest level of internal and external customer satisfaction.
Required Knowledge, Skills and Abilities:
- Must be able to work flexible hours including evenings and weekends.
- Must be able to travel as required.
- Ability to develop and conduct audits in a healthcare setting.
- Ability to quantify audit findings and implement corrective actions.
- Must be able to advanced proficiency in Microsoft Excel software including mastery over formulas, data management and other Excel features for handling complex tasks.
- Working knowledge of HIPAA compliance for healthcare providers, defensive documentation and infection control.
- Knowledge of HEDIS measures and healthcare standards
- Ability to think strategically and achieve organization’s goals relating to position.
- Ability to provide oversight of compliance and regulatory requirements pertaining to position.
- Comfortable with discussing topics relating to sexual and reproductive health.
- Strong organizational skills.
- Ability to manage details and complexity, to handle a variety of tasks simultaneously and to work under pressure.
- Ability to exercise initiative, sound judgment, and problem-solving techniques in the decision-making process.
- Ability to effectively use organization’s computer systems and equipment such as video systems, projectors, conference call/video technology, and laptops and/or other mobile devices.
- Skilled in verbal and written communications.
- Must be able to speak effectively in a public or group setting.
- Be discrete and safe guard confidential information.
- Possess integrity and compliance – can be relied upon to act ethically.
- Ability to provide effective, equitable, understandable, and respectful quality care and services that are responsive to the diverse cultural health beliefs and practices, preferred language, health literacy and other communication needs.
- Ability to work effectively as a team member.
- Effective leadership capabilities; possess the skills to delegate, develop and supervise subordinates.
- Industry Awareness: Remains aware PPFA accreditation standards and of the reproductive health environment’s regulatory compliance requirements. Understands how accreditation standards, regulatory agencies, funding, the external marketplace and competitive environment drives change within the agency.
- Organizational Awareness: Demonstrates a comprehensive awareness of the impact and implications of decisions and actions on other areas (departments or clinics) within the agency.
- Work Management: Effectively manages time as a resource; establishes realistic priorities; schedules own time and activities effectively; gives balanced focus and attention to appropriate long- and short-term priorities. Develops action plans and budgets; leverages technology; anticipates obstacles; establishes check points and monitors progress; regularly meets deadlines.
- Recovery Skills: Responds effectively and acknowledges responsibilities when clients (internal or external) experience problems or mistakes; rectifies the situation to restore client satisfaction; seeks information and collaborates with others to take action to implement permanent fixes. Maintains stable performance and emotions when faced with opposition, pressure, and or stressful conditions.
- Building Relationships: Shows genuine interest in others’ needs and opinions; establishes rapport; earns the confidence and trust of others; demonstrates consistency between words and actions; delivers on commitments.
- Process Improvement: Understands core work processes; identifies process opportunities and issues; seeks information to understand the gap between current and desired performance; works effectively with others to identify and implement improvements; continuously works to improve returns for the client and the organization.
- Exemplify the organization’s In This Together values: We Tend to the Team; We Respect and Honor All People; We Jump In; We Try and We Learn; We Care for our Business; and We Return to our Mission.
Other:
- PPGT is an equal opportunity employer which makes reasonable accommodations to those disabled under the Americans with Disabilities act and who are willing and able to perform the essential duties of the position, with or without an accommodation. We maintain a drug-free workplace.
Essential Physical Requirements/Working Conditions:
- Must be able to move about on foot to accomplish tasks, such as moving from one work site to another. Must be able to work primarily with fingers such as picking, pinching, or typing. Must be able to talk, such as to convey detailed or important spoken instructions to other workers accurately. Must be able to hear, such as the ability to receive detailed communication orally. Must be able to communicate effectively. Will have substantial movements of the wrists, hands, and/or fingers. Must be able to lift and/or exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently. Must be able to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection. Health Center and Office environment.
Applicants have rights under the Federal Employment Laws. To view these notices, please click on the following links: Family and Medical Leave Act (FMLA) poster: Equal Employment Opportunity (EEO) poster; and Employee Polygraph Protection Act (EPPA) posted
Job Summary
JOB TYPE
Full Time
SALARY
$123k-158k (estimate)
POST DATE
02/18/2024
EXPIRATION DATE
05/14/2024
HEADQUARTERS
DALLAS, TX
SIZE
3,000 - 7,500
FOUNDED
2010
CEO
PATRICIA MC GREW
REVENUE
$10M - $50M
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