Our Organization: Welcome to Arkos Health! We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Backed by a robust technology platform, innovative software, and a light human touch, Arkos Health is committed to delivering advanced and accessible community-based services allowing our clients to live healthier, more independent lives. How do we do this? Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve.
How You'll Make a Difference:
Arkos Health is seeking a Director of Quality. The Director of Quality provides oversight and direction to the STARS/HEDIS staff. They will be tasked with managing and holding staff accountable to department goals, initiatives, and outreach activities. The Director of Quality will be able to collect, report, and respond to metrics and to contribute to the organization's drive to improve the overall experience of patient care, including the quality of health, and work to reduce the cost of care across the population served.
Essential Duties and Responsibilities:
Review and provide performance feedback to the department Staff, including annual performance reviews, and implement improvement plans
Establish individual and department weekly, monthly, and annual goals that support a minimum 4 STAR rating for Medicare, and 66th percentile on HEDIS measures for Medicaid
Directs, supervises, and prioritized day-to-day functions of the department, ensuring gaps in care are captured and validated
Provide updated education regarding quality initiatives to staff and external stakeholders
Attend educational and demonstration activities to remain the subject matter of the department
Evaluate data collected to develop strategies to improve overall performance
Maintain inventory of the department point-of-care testing supplies
Monitor data entry and maintain appropriate documentation and tracking for quality initiatives Director of Quality
Demonstrate the ability to work collaboratively, efficiently, and effectively with internal and external stakeholders Collaborate with other internal department leaders to establish processes that support efficiency and overall goals
Follow procedures, practices, policies, and guidelines to ensure the safety, security, and well-being of patients
Create, maintain, and improve policies and procedures for efficient department workflow
Assist in investigation and resolution of data collection for all lines of business
Performs other duties as assigned to support the overall effectiveness of the organization
Qualifications and Skills:
Medical Assistant Certification and/or Certified Nurse Assistant Certification required
3+ years of experience management experience, with at least 1 of those years in healthcare
5+ years of experience in a healthcare environment
Recent and related experience working with HEDIS STARS Program
Experience with Microsoft Word, Excel, and Power Point
Experience in Electronic Health Records
Experience with verifying eligibility and navigating through Insurance Portals
Experience with CPT II codes
Knowledge HCC’s and Medical Diagnosis
Benefits:
Employer-paid Medical premiums at no cost to you
Employer-paid Dental premiums at no cost to you
Employer-paid Vision premiums at no cost to you
Employer-paid Short-Term Disability premiums at no cost to you
Employer-paid Life Insurance premiums at no cost to you
Employer matching 401(k)
15 days annual combined sick/vacation and 9 days of holiday during your first year
Your Birthday off!
Must complete our Culture Index Survey. Take the assessment at https://go.cultureindex.com/s/bg3VS0H2k F. This is not a pass/fail test and does not measure intelligence.
Arkos Health EEO Statement: We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Arkos Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.
Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at
Careers - Arkos Health