Senior Quality & Network Leader (KanCare)

Kansas Department of Health and Environment

Kansas

On-site

USD 70,000 - 78,000

Full time

4 days ago

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Benefits offered by this job

Medical coverage

Sick leave

Vacation leave

Paid holidays

Retirement plan

Employee discounts

Job summary

Kansas Department of Health and Environment is seeking a Quality & Network Senior Manager (K0241490) to lead the Quality Program Management staff and EQRO activities within the KanCare program. You will develop quality and outcome measurement strategies and collaborate with KDHE, KDADS, the EQRO, and MCO staff to ensure federal reporting processes are met.

This full-time, unclassified position requires strong leadership, data analysis, and knowledge of healthcare quality standards.

Qualifications

Two years of experience in a health care environment or related setting supervising audit and quality assurance functions, EQRO activities like calculating HEDIS measures.
Proofreading, editing, attention to detail is preferred.
Experience communicating with Federal agencies and personnel is a plus.
Knowledgeable in analyzing statutes and regulations and providing guidance on such.

Responsibilities

Leads and directs staff responsible for the Network Adequacy program to monitor MCO compliance with time and distance requirements within the KanCare program.
Management of Network Adequacy consists of ensuring the MCOs are following federal requirements and requirements in the KanCare contract.
Leads and directs staff responsible for the Program Improvement Plan (PIP) process for the MCOs.