Job Details

Job Title: Quality Care Project Director

Duration: 7+ Months Contract (with possibilities of extension)

Job Location: Northwest Region

Description of Work:

The vendor shall provide assistance to fulfill the Quality Care Project Director position to perform these Primary functions:

• Oversee the development of the Quality Improvement Plan
• Work with practices and community providers in the implementation of the Quality Improvement Program
• Ensure the PCCM-e completes the required QIP and meets required benchmarks
• Review and report data to the Medical Director, and conveys information related to Quality Measures, QIPs, and any Agency directed quality initiatives adopted by the Agency to the PCCM-e
• Support the care coordination activities of those in the Region that are at the highest risk and cost along with other areas of focus as chosen by the PCCM-e
• Ensure quality of services are provided in accordance with state and federal regulations.

Personnel Qualifications

Education requirement is one of the following:

• Bachelor's degree in public health, public administration or healthcare quality and safety, master's degree preferred.
• Certified Professional in Healthcare Quality (CPHQ) or equivalent experience related to healthcare quality
• Clinical background preferred
• Prior experience, at least one year, working with the Medicaid population.
• Familiarity with Healthcare Effectiveness Data and Information Set (HEDIS), CAPHS, and other standardized quality measures/assessments
• Proficiency in quantitative data analysis Proprietary. Not For Distribution v. 10.28.25 1 Statement of Work
• At least 3 years' experience related to population health management, including interpretation and presentation of data; identifying opportunities for improvement, and developing strategic plans to address quality deficits.

Population Health Management strategies – Oversees the PCCM-e quality Improvement Plan by:

• Systematic data analysis to target Medicaid recipients and providers for outreach, education, and intervention to improve health outcomes.
• Monitoring system access to care, services, and treatment including linkage to a Medical Home.
• Monitoring quality and effectiveness of interventions to the population
• Facilitating quality improvement activities that educate, support, and monitor Providers regarding evidence-based care for best practice.
• Implementing clinical management initiatives identified as priorities by the Agency and the PCCM-e.
• Residence in one of the following Alabama counties is preferred: Bibb, Colbert, Fayette, Franklin, Greene, Hale, Lamar, Lauderdale, Lawrence, Marion, Pickens, Sumter, Tuscaloosa, Walker or Winston.
• Candidates residing in Mississippi counties contiguous to Alabama will also be considered.