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In an environment where medical product regulations seem to be expanding continuously, proportional investment in compliance infrastructure and controls runs the risk of diminishing returns. The key to achieving the right balance of commercial success and compliance is to focus on continuous improvement, specifically root-cause analysis.
The US Food and Drug Administration (FDA) has published a new draft guidance intended to assist industry with developing products under the agency's so-called "Animal Rule," a regulatory pathway intended to facilitate approvals of medical countermeasures to rare, emerging or serious pathogens.
The Director, Quality and Accreditation is responsible for Continuous Quality Improvement (CQI) initiatives, including development and administration of the CQI program and coordination with the District’s External Quality Review Organization (EQRO). The Director leads and directs the QI, PI, Accreditation programs and other quality initiatives of HSCSN and works with the leadership team to achieve desirable goals and outcomes.
Minimum Experience Requirements Five (5) years of current progressive experience in management and quality improvement in Health plan/MCO setting. Experience with inner-city Medicaid population preferred. Previous Accreditation experience required. Previous HEDIS reporting experience preferred. Strong professional base in areas of QI. Experience in interpreting raw data and conducting comparative analysis. Behavioral experience a plus. Knowledge of CQI methodologies. Proficient in the use of personal computer including spreadsheet analysis, presentation graphics and word processing. Highly developed oral, written and organizational skills. Ability to communicate effectively with individuals and groups and agencies. Ability to manage multiple priorities and make appropriate decisions to assure completion of task on time. Demonstrates flexibility and willingness to undertake new responsibilities as assigned. Appropriate professional demeanor to represent HSC to internal and external constituents. Ability to work under stress. Ability to solve problems of a complex nature. Ability to multitask.
Minimum Education Requirement Bachelor’s degree in health care field required. Master’s degree preferred (MSN, MPA, or MBA).
Minimum Licensure Requirement Registered Nurse (RN) preferred, licensed in the District of Columbia, if applicable. CPHQ preferred (or must obtain within 18 months of employment).
About Health Services for Children with Special Needs, Inc.
Health Services for Children with Special Needs, Inc. (HSCSN) is a dedicated District of Columbia Medicaid health plan that coordinates health, social, and education services for the pediatric Supplemental Security Income (SSI) and SSI-eligible populations of Washington, DC.
Exclusively focused on children and young adults with special health care needs up to age 26, our plan is impressively c...omprehensive. Our dedicated, caring staff of health care professionals is genuinely committed to helping our members and their families reach their full potential.