Anthem, Inc. Perinatal Clinical Quality Program Director (Mississippi Medicaid Managed Care) in Jackson, Mississippi
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Your Talent. Our Vision . At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.
We are hiring a Clinical Quality Program Director. Responsible for developing a clinical quality improvement strategy for Maternal/Child Heath in the State of Mississippi that aligns with the overarching Population Health Strategy.
Primary duties may include, but are not limited to:
Leads quality strategy meetings that include enterprise and local stakeholders.
Develops and facilitates the integration of a national quality plan.
Identifies and integrates best practices into state programs.
Develops performance improvement plans and oversees the clinical quality improvement activities/projects in accordance with State expectations.
Participates in the development, management, review and reporting of program outcomes for clinical quality programs.
Assures compliance with corporate Quality Improvement work plans.
Assures accurate and complete qualitative and quantitative analysis of clinical data.
Leads department projects and mentors staff.
Prepares and presents program documents to senior management.
The health and safety of our associates, members and communities is a top priority for Anthem. This priority has become increasingly important as we continue to face the challenges of the COVID-19 pandemic. Anthem believes vaccination is the best way to reduce the spread of COVID-19 and protect our members, our communities, our families and ourselves. To minimize the risk of transmission of the COVID-19 virus and maintain a safe and healthy workplace, vaccination is required for this role. (At Anthem, fully vaccinated means it has been at least two weeks since you have received the second dose of a two-dose vaccine such as Moderna or Pfizer, or the single dose of a single dose vaccine, such as Johnson & Johnson ).
If you do not meet the requirements for this position, we encourage you to review other positions that currently allow virtual work. If you have a medical or sincerely held religious reason for not being vaccinated, consistent with applicable law, Anthem will consider requests for reasonable accommodation on this basis. Should you have any questions regarding the requirement after applying, email TalentAcquisition_VaccinationSupport@anthem.com .
Requires a BS in health administration, nursing or a related clinical field; 5 years of health care quality or data analysis experience; or an equivalent combination of education and experience, which would provide an equivalent background
Position must reside in the state of Mississippi
Current unrestricted license or certification in the state of Mississippi in an applicable field (i.e. CPHQ) or MS in the health field (i.e. Nursing) preferred. RN preferred.
Knowledge of state or assigned line of business needs and priority improvement areas required.
Utilization management and/or case management experience 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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.