At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary

This position is responsible for managing staff accountable for designing, implementing and maintaining quality improvement programs and accreditation to meet Federal and State regulations and accreditation requirements (i.e. NCQA, URAC, etc). This position is responsible for implementing strategies, developing and ensuring completion of projects, identifying areas for improvement, developing business cases, completing annual quality improvement program evaluation, and working across departments to complete initiatives.

This position is FLEX (3 days in the office)

JOB REQUIREMENTS:

• Bachelor degree OR Licensed clinician (Registered Nurse, Licensed Master Social Worker, Registered Dietician, Licensed Professional Counselor) with unrestricted, current license in state of operations

• 5 years quality management experience or 5 years clinical managed care experience with 1 year quality management experience 

• 1 year experience in a lead/manager capacity

• Knowledge of medical terminology and procedures, management care products and programs and National Committee for Quality Assurance (NCQA), URAC or other accrediting agency standards

• Project management and program development experience

• Verbal and written communication skills including interpersonal and presentation skills

• Negotiation skills

• Analytical skills

• PC experience to include Microsoft office

• Ability to travel, including overnight stays

PREFERRED JOB REQUIREMENTS:

• Independently licensed behavioral health clinician (Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Marriage and Family Therapist).

• 1-2 years supervisory or management experience.

• Quality management (quality improvement and/or accreditation) experience at a managed care organization.

• Experience at a managed care organization related to behavioral health (UM, CM, appeals, etc).

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.