Quality & Accreditation Program Manager - Hybrid

City/State

Virginia Beach, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health is seeking to hire a qualified individual to join our team as a Quality & Accreditation Program Manager.

Position Status: Full-time, Days

Standard Working Hours: Monday - Friday, 8am - 5:00pm (EST)

This position is Hybrid at either Sentara Park in Virginia Beach, VA or Country Club Road in Harrisonburg, VA.

Minimum Requirements:

• Bachelor's level degree - Required

• Project Management - 2 years Required

• Quality Improvement - 5 years Required

• Knowledge of NCQA - Required

• Previous Managed Care experience

• Knowledge of medical terminology, CPT, ICD-10 coding preferred. 
  Project Management Certification, Scrum Master Certification, or Yellow Belt Certification preferred.

Job Description:

The Program Manager provides Project Management (PM) planning, coordination, documentation, and implementation of simple to complex Quality Improvement (QI) projects. Responsible for quality and/or population health related activities to include accreditation, regulatory, or value-based care efforts associated with or required by the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), the Department of Medical Assistance Services (DMAS), the Centers for Medicare and Medicaid Services (CMS) and other State and/or Federal Government entities. Analyzes projects to determine scope, cost, resource needs and scheduling requirements. Creates, maintains and refines detailed project plans, including work breakdown structures, and tracks project schedules. Identifies, develops and implements cross-functional, cross-departmental work processes across various departments or the overall division to improve clinical outcomes. Performs root cause analysis and coordinates activities to enhance the clinical outcomes of the population. Identifies internal deficiencies or obstacles with data, systems and processes, and implements enhancements interventions for the area. Leads process mapping, research, and analysis for QI initiatives.

Diversity and Inclusion at Sentara 

Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve.

We are realizing this vision through our Diversity and Inclusion strategy, which has three pillars: A diverse and talented workforce, an inclusive and supportive workplace, and outreach and engagement with our community. We have made remarkable strides in these areas over the past several years and, as our world continues to evolve, we know our work is never done.

Our strategies focus on both structural inclusion, which looks at our organizational structures, processes, and practices; as well as behavioral inclusion, which evaluates our mindsets, skillsets, and relationships. Together, these strategies are moving our organization forward in an environment that fosters a culture of mutual respect and belonging for all.

Please visit the link below to learn more about Sentara’s commitment to diversity and inclusion:

https://www.sentara.com/aboutus/mission-vision-and-values/diversity.aspx

Sentara Overview
For more than a decade, Modern Healthcare magazine has ranked Sentara Health as one of the nation's top integrated healthcare systems.  That's because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.

Sentara Benefits
As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers.  We offer a variety of amenities to our employees, including, but not limited to: 

• Medical, Dental, and Vision Insurance

• Paid Annual Leave, Sick Leave

• Flexible Spending Accounts

• Retirement funds with matching contribution

• Supplemental insurance policies, including legal, Life Insurance and AD&D among others

• Work Perks program including discounted movie and theme park tickets among other great deals

• Opportunities for further adva