Director, Market Quality & Performance Improvement

CareSource; Dayton (KY); Hybrid; USD 113,000 - 198,000; Full time

Benefits offered by this job

Bonus potential

Job summary

CareSource in Dayton, KY seeks a Director, Market Quality Improvement to lead quality initiatives and improve performance for the assigned market(s). The role directs the Quality Improvement program, collaborates with stakeholders, and ensures NCQA accreditation compliance and state requirements are met.

The position analyzes risk data, chairs quality committees, drives corrective actions, and ensures timely reporting while advancing regulatory and organizational quality goals across the

Qualifications

• BSN or related healthcare/management degree required; Master’s preferred.
• Minimum five years of leadership/management experience.
• Minimum three years in Medicaid or managed care.
• Minimum five years of healthcare quality experience with QI programs.

Responsibilities

• Directs the Quality Improvement program for assigned markets.
• Ensures NCQA accreditation requirements and state regulations are met.
• Develops and monitors QI plans and annual improvement activities.
• Analyzes risk and quality data to improve member care across business lines.
• Leads committees/workgroups to improve quality outcomes.
• Ensures timely reporting, audits, and corrective action plans as needed.

Skills

Quality Improvement

Data analysis

Leadership

Communication

Project management

Strategic thinking

Education

BSN or related degree

Master's in Nursing / Business / Management or related field

Tools

Microsoft Word

Excel

PowerPoint

Job description

CareSource in Dayton, KY seeks a Director, Market Quality Improvement to lead quality initiatives and improve performance for the assigned market(s). The role directs the Quality Improvement program, collaborates with stakeholders, and ensures NCQA accreditation compliance and state requirements are met.

The position analyzes risk data, chairs quality committees, drives corrective actions, and ensures timely reporting while advancing regulatory and organizational quality goals across the