Director Clinical Quality Management-Remote
Company: Anthem, Inc
Posted on: June 25, 2022
SHIFT: Day Job
Be part of an extraordinary team
We are looking for leaders at all levels of the organization who
are passionate about making an impact on our members and the
communities we serve. You will thrive in a complex and
collaborative environment where you take action and ownership to
solve problems and lead change. Do you want to be part of a larger
purpose and an evolving, high-performance culture that empowers you
to make an impact?
Build the Possibilities. Make an extraordinary impact. Join our
CareMore is a proud member of the Anthem family of brands, offering
clinical programs and primary care options for seniors. We are a
team of committed clinicians and business leaders passionate about
transforming American healthcare delivery.
Director Clinical Quality Management
Remote Opportunity - Supporting CareMore Nationwide
Monday through Friday - 8 a.m. - 5:00 p.m.
Responsible for overseeing the development of quality improvement
strategies for the enterprise and/or clinical program development
for population-based clinical quality measures. Primary duties may
include, but are not limited to:
+ Directs the development of a national quality plan and the
integration of quality into the overall business process.
+ Evaluates industry best practices, medical research, and other
resources to develop clinical programs and tools which facilitate
and support quality, cost-effective care.
+ Develops and implements an annual plan detailing the strategies,
programs and tools to be implemented.
+ Assures compliance with corporate QI work plans.
+ Assures that all QI activities are relevant to the needs of
+ Maintains documentation of research programs to meet regulatory
and Accreditation Standards.
+ Provides oversight to assure accurate and complete quantitative
analysis of clinical data and presentation of results of data
+ Tracks program performance and results.
+ Works with both internal and external customers to promote
understanding of health services activities and objectives and to
prioritize projects according to corporate, regional, and
+ Hires, trains, coaches, counsels, and evaluates performance of
Requires a BA/BS in a clinical or health care field (i.e. nursing,
epidemiology, health sciences); 5 years of management experience in
a health care environment; or any combination of education and
experience, which would provide an equivalent background. MS or
advanced degree in a health care related field (i.e. nursing,
health education) or business preferred. Previous experience
working with NCQA, and HEDIS preferred. We offer a range of
market-competitive total rewards that include merit increases, paid
holidays, Paid Time Off, and incentive bonus programs (unless
covered by a collective bargaining agreement), medical, dental,
vision, short and long term disability benefits, 401(k) +match,
stock purchase plan, life insurance, wellness programs and
financial education resources, to name a few. The health of our
associates and communities is a top priority for Anthem. We require
all new candidates to become vaccinated against COVID-19. If you
are not vaccinated, your offer will be rescinded unless you provide
- and Anthem approves - a valid religious or medical explanation as
to why you are not able to get vaccinated that Anthem is able to
reasonably accommodate. Anthem will also follow all relevant
federal, state and local laws. Anthem, Inc. has been named as a
Fortune Great Place to Work in 2021, is ranked as one of the 2021
World's Most Admired Companies among health insurers by Fortune
magazine, and a Top 20 Fortune 500 Companies on Diversity and
Inclusion. To learn more about our company and apply, please visit
us at careers.antheminc.com. Anthem is an Equal Employment
Opportunity employer and all qualified applicants will receive
consideration for employment without regard to age, citizenship
status, color, creed, disability, ethnicity, genetic information,
gender (including gender identity and gender expression), marital
status, national origin, race, religion, sex, sexual orientation,
veteran status or any other status or condition protected by
applicable federal, state, or local laws. Applicants who require
accommodation to participate in the job application process may
contact firstname.lastname@example.org for assistance.
Keywords: Anthem, Inc, Memphis , Director Clinical Quality Management-Remote, Executive , Memphis, Tennessee
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