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Director Clinical Quality Management-Remote

Company: Anthem, Inc
Location: Memphis
Posted on: June 25, 2022

Job Description:


SHIFT: Day Job

SCHEDULE: Full-time

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 team!

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 targeted population.

+ 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 analysis.

+ 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 departmental goals.

+ Hires, trains, coaches, counsels, and evaluates performance of direct reports.


Minimum Requirements

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 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 for assistance.


Keywords: Anthem, Inc, Memphis , Director Clinical Quality Management-Remote, Executive , Memphis, Tennessee

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