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MANAGER COMPLIANCE, PRIVACY AND QUALITY-HEALTHCARE SOLUTIONS NETWORK

City:  Cincinnati
State:  OH
Job Requisition Number:  180234

Attention current TriHealth employees:

Please apply for this position by submitting an online internal application via SuccessFactors. Please be certain to update your SuccessFactors Employee Profile prior to applying to this position.

MANAGER COMPLIANCE, PRIVACY AND QUALITY-HEALTHCARE SOLUTIONS NETWORK: The Healthcare Solutions Network (HSN) Compliance & Privacy Officer and Director of Quality will have a matrix reporting relationship. This role as Compliance & Privacy Officer will report to HSN's Board of Directors and as Director of HSN Quality will report to TriHealth Executive Director for Medical Management and Ambulatory Care Coordination. The role will be employed through TriHealth and have an business agreement for activities to support HSN. As HSN Compliance & Privacy Officer this role will be knowledgeable of regulations and support HSN's execution of Annual Compliance and Privacy Plan. Support policy and procedure development, implementation and communication efforts. Investigation into compliance and privacy concerns, and responds to inquiries from HSN. Actively promote visibility and awareness of the compliance and privacy program and facilitate education of HSN providers and their staff. As Director of HSN Quality this role will facilitate the development and monitoring of HSN quality metrics that support the triple-aim that drives value based patient care. As a part of this work, the role will utilize both clinical and claims data to evaluate and identify improvement opportunities for HSN and population. The role will also facilitate improvement activities within HSN such as sharing of best practices and standards of care, recommending benchmarks for targets, care management activities of value based population, and development of Annual Quality and Performance Improvement plan. This work will be performed within the HSN Quality and Provider Committee.

MINIMUM REQUIREMENTS:

EDUCATION: Bachelor's Degree Business Healthcare Administration or related field

EXPERIENCE: 4-5 years Professional Business 4 years of progressive, direct experience in healthcare compliance and or quality program. Knowledge of NCQA, HEDIS, MSSP. SPECIALIZED KNOWLEDGE: .

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Job Title:  MANAGER COMPLIANCE, PRIVACY AND QUALITY-HEALTHCARE SOLUTIONS NETWORK

Department Name:  THPP AMBULATORY CARE COORD

Location:  Baldwin

Hourly/Salaried:  Salaried

Employment Status: Full Time Position

Bi-Weekly Hours:80

Shift: Day Shift

Weekend Commitment:  No

Holiday Commitment:  No

On-Call Commitment:  No


Nearest Major Market: Cincinnati

Job Segment: Medical, Patient Care, Manager, Healthcare Administration, Healthcare, Management