Description of Work
1. Oversee the development of the Quality Improvement Plan;
2. Work with practices and community providers in the implementation of the Quality Improvement Program;
3. Ensure the PCCM-e completes the required QIP and meets required benchmarks;
4. Review and report data to the Medical Director, and conveys information related to Quality Measures, QIPs, and any Agency directed quality initiatives adopted by the Agency to the PCCM-e;
5. Support the care coordination activities of those in the Region that are at the highest risk and cost along with other areas of focus as chosen by the PCCM-e; and
6. Ensure quality of services are provided in accordance with state and federal regulations.
The Personnel Qualifications
1. Education requirement is one of the following: a. Bachelor s degree in public health, public administration or healthcare quality and safety, master s degree preferred.
2. Certified Professional in Healthcare Quality (CPHQ) or equivalent experience related to healthcare quality
3. Clinical background preferred
4. Prior experience, at least one year, working with the Medicaid population.
5. Familiarity with Healthcare Effectiveness Data and Information Set (HEDIS), CAPHS, and other standardized quality measures/assessments
6. Proficiency in quantitative data analysis
7. At least 3 years experience related to population health management, including interpretation and presentation of data; identifying opportunities for improvement, and developing strategic plans to address quality deficits.
Population Health Management strategies Oversees the PCCM-e quality Improvement Plan by:
a. Systematic data analysis to target Medicaid recipients and providers for outreach, education, and intervention to improve health outcomes.
b. Monitoring system access to care, services, and treatment including linkage to a Medical Home.
c. Monitoring quality and effectiveness of interventions to the population
d. Facilitating quality improvement activities that educate, support, and monitor Providers regarding evidence-based care for best practice.
e. Implementing clinical management initiatives identified as priorities by the Agency and the PCCM-e.
8. Must live in one of the following counties: Bibb, Colbert, Fayette, Franklin, Greene, Hale, Lamar, Lauderdale, Lawrence, Marion, Pickens, Sumter, Tuscaloosa, Walker or Winston.
9. Has not worked for and/or been employed by the Alabama Medicaid Agency within the past two years
Staffing Recruiter | Talent Acquisition Specialist
I’m a passionate and results-driven staffing recruiter with multiple years of experience in connecting top-tier talent with leading companies across various industries. Specializing in industrial, clerical, skilled labor, and direct hiring, I take pride in understanding both the unique needs of businesses and the career goals of candidates. I thrive on building lasting relationships and ensuring the perfect match between employers and job seekers.
My approach is centered around strong communication, a deep understanding of the job market, and a commitment to delivering an exceptional recruitment experience. Whether you're a company looking for the right talent or a professional seeking your next opportunity, I work diligently to create success stories.
I’m always eager to learn and stay ahead of industry trends to better serve my clients and candidates. Let's connect!
