Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country.
In addition, our Foundation provides grant opportunities to those with programs for under-served communities.
BEST PEOPLE, BEST SOLUTIONS, BEST RESULTS
JOB SUMMARY:
Performs project management activities for successful implementation and completion of quality improvement projects in various delivery settings. Works with team in the delivery of all contract requirements, maintaining knowledge of the QI activities assigned to the team. Member of an interdisciplinary team consisting of physicians, nurses, analysts, and scientists. May work on any contract for which training has been provided.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Maintains a working clinical knowledge of all assigned projects, managed care processes, and regulatory issues.
- Meets all contract deliverable deadlines, both internal and external.
- Develops and keeps current database of contacts at assigned facilities.
- Coordinates meetings of all types, internal and external, and participates on committees as assigned.
- Conducts presentations as assigned.
- Interacts with customers on-site and by phone, explaining QI initiatives, providing training, and identifying issues that should be referred for resolution.
- Prepares and maintains materials and information for provider use in QI initiatives.
- Works with the managed care team to plan and develop strategies to meet contract objectives.
- Monitors and documents progress of assigned facilities.
- Follows contract specific procedures and policies in conducting activities.
- Attends professional and/or trade association meetings/conferences as assigned.
- Identifies opportunities to improve processes and procedures.
- Within contract constraints and guidelines, have some ability to interpret guidelines and choose from alternative courses of action.
Required Skills
TO PERFORM THE JOB SUCCESSFULLY, AN INDIVIDUAL SHOULD DEMONSTRATE THE FOLLOWING COMPETENCIES:
- ANALYTICAL - Collects and researches data; Uses intuition and experience to complement data.
- PROBLEM SOLVING and Critical Thinking - Identifies and resolves problems in a timely manner; Develops alternative solutions.
- PROJECT MANAGEMENT - Develops project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget; Manages project team activities.
- CUSTOMER SERVICE - Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance.
- COMMUNICATION - Communicates effectively with people at all levels in the organization.
- CHANGE MANAGEMENT - Develops workable implementation plans; Communicates changes effectively; Builds commitment and overcomes resistance.
- LEADERSHIP - Inspires and motivates others to perform well; effectively influences actions and opinions of others.
- QUALITY MANAGEMENT - Looks for ways to improve and promote quality.
- PLANNING/ORGANIZING - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives.
Required Experience
EDUCATION AND/OR EXPERIENCE:
Associate's degree (A. A.), preferably in the health related field and at least two years of quality improvement experience.
Qlarant, Inc is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.
Note: Qlarant has a mandate as a Federal contractor that all associates must be fully vaccinated with one of the approved COVID vaccines.