Top 10 director payer analytics Jobs in columbus

Director of Clinical Quality Improvement
Elumina Health —Columbus, OH
- $100,000 - $150,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Paid holidays
- Health insurance
Quick Apply
Revenue Integrity Analyst
Orthopedic One —Westerville, OH
- Full-time
- Hybrid work
- Anatomy knowledge
- Mid-level
- Finance
Payer Back Office Strategy / Technology / Operations Consultant, Director
PRICE WATERHOUSE COOPERS —Columbus, OH
- $155,000 - $410,000 a year
- Master's degree
- Bachelor's degree
- Mentoring
- Paid holidays
- Health insurance
Director, Analytics Product
Quantum Health —Dublin, OH
- Hybrid work
- 8 years
- Continuous improvement
- Product management
Quick Apply
Payer Platform Delivery Lead, Director
PRICE WATERHOUSE COOPERS —Columbus, OH
- $155,000 - $410,000 a year
- Computer science
- Computer Science
- Master's degree
- Paid holidays
- Health insurance
Medicaid Risk Adjustment Program Management Lead Director
CVS Health —Columbus, OH
- $100,000 - $231,540 a year
- Full-time
- Analysis skills
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
8d
Senior Manager 1: Research Leader - Deloitte Center for Health Solutions
Deloitte —Columbus, OH
- $124,600 - $255,900 a year
- Full-time
- Doctoral degree
- Master's degree
- Analysis skills
2d
Collections Director - Behavioral Health
Zealie —United States
- $80,000 - $90,000 a year
- Full-time
- Remote
- HIPAA
- Residential
- Finance
- Health insurance
- Dental insurance
Quick Apply

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Director of Clinical Quality Improvement
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Must have a reliable car, car insurance and a valid driver’s license. Leading multidisciplinary teams in the analysis of quality data, root cause analyses, and…
$100,000 - $150,000 a year
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Director of Clinical Quality Improvement

Elumina Health
Columbus, OH

Quick Apply

Job Details

Full-time
$100,000 - $150,000 a year

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Paid time off
Family leave
Employee assistance program
Vision insurance
401(k) matching
Referral program

Qualifications

TJC
Nursing
RN License
In-home healthcare experience
Master's degree
Driver's License
Hospital accreditation
Bachelor's degree
Organizational skills
Bachelor's degree in nursing
Clinical team leadership
Clinical data analysis
Home health agency experience
Healthcare performance metrics analysis
Nursing
Quality assurance within healthcare

Full Job Description

Director of Clinical Quality Improvement

Responsibilities & Requirements:

At the direction of the Chief Operations Officer, the Director of Clinical Quality Improvement is responsible for providing vision and direction for all aspects of clinical quality. The Director ensures that the organization provides the highest quality care in a safe, timely, and patient centered manner. The Director of Clinical Quality Improvement is responsible for overseeing the implementation and evaluation of a comprehensive quality improvement program to enhance patient safety, achieve better health outcomes, and comply with regulatory standards.

Responsibilities include:

Plans, develops and expands continuous clinical performance improvement through the setting of priorities and establishing and executing strategic quality plans across the continuum of patient care.
Exercises leadership, collaboration and partnership with all areas of the organization, involved in quality and patient safety, analytics, evidence-based medicine, CMS and payer and regulatory affairs.
Responsible for work related to Patient Safety Program, Hospitalization Reduction, Infection Control, Fall Reduction, Performance Improvement, Patient Relations, Risk, Case Management and Patient Experience.
Accurately measures and reports appropriate clinical quality metrics for all divisions of the home health organization. Responsible for facilitating the development, implementation and monitoring of clinical quality improvement initiatives; and responsible for alignment of clinical quality initiatives with the overall quality and safety agenda of the organization including compliance with requirements of Centers for Medicare and Medicaid, The Joint Commission, The Ohio Department of Health and other regulatory or payer entities.
Provides leadership and direction ensuring the organization is aligned with the annual Quality Assessment and Performance Improvement Plan. Has leadership oversight and responsibility for the creation of the organization’s quality scorecard and leads initiatives to drive clinical outcome performance.
Ensures regulatory compliance is valued and incorporated into best practices by clinical staff.

Key functional responsibilities include:

Leading multidisciplinary teams in the analysis of quality data, root cause analyses, and failure mode effects analyses to identify vulnerabilities and implement corrective actions.
Designing and implementing patient safety initiatives, such as infection control measures, fall reduction programs, hospitalization reduction initiatives to minimize the risk of harm to patients.
Analysis, then through program design leadership of the HHCAHPS patient satisfaction program.
Developing and monitoring key performance indicators (KPIs) and quality metrics to assess the effectiveness of quality improvement and patient safety efforts.
Facilitating the accreditation process by ensuring that all aspects of patient care meet the standards set by relevant accrediting bodies.
Providing leadership and participation in the Regulatory and Compliance committee and communicating vertically and horizontally to all constituents within the organization.
Fostering a culture of safety within the organization.

Minimum Education:

Bachelor’s Degree in Nursing required
Master’s Degree in Nursing or related preferred

Required Licenses:

Licensed as a Registered Nurse by the State of Ohio

Minimum Work Experience:

Five (5) years of Nurse Manager experience with demonstrated leadership and management skills
Minimum one (1) year experience in Home Health

Required Skills:

Certified Professional of Healthcare Quality – required or must be willing to obtain within 3 years
Maintains competencies & skills of specialty area of practice
Ability to communicate effectively, both written and oral
Ability to analyze quality data and implement strategies and solutions based upon findings
Experience with CAHPS, showing implemented strategies brought results.
Experience in Performance Improvement initiatives, leading and supporting.
Experience in a Joint Commission accredited organization.
Six Sigma Certification preferred

Special requirements:

· Must have a reliable car, car insurance and a valid driver’s license.

Benefits:

401(k) retirement savings plan
401(k) employer match with immediate 100% vesting
Health insurance
Dental insurance
Vision insurance
Employee assistance program
Paid time off
Paid holidays
Employee referral program

Job Type: Full-time

Compensation: $100,000 - $150,000 plus incentive opportunities

Work Location: In person

Job Type: Full-time

Pay: $100,000.00 - $150,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Family leave
Health insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

director payer analytics jobs in columbus

Director of Clinical Quality Improvement

Revenue Integrity Analyst

Payer Back Office Strategy / Technology / Operations Consultant, Director

Director, Analytics Product

Payer Platform Delivery Lead, Director

Medicaid Risk Adjustment Program Management Lead Director

Senior Manager 1: Research Leader - Deloitte Center for Health Solutions

Collections Director - Behavioral Health

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