Description & Requirements
Essential Duties and Responsibilities:
- Develop and oversee an effective management system to continuously identify opportunities for improvement while maintaining adherence to contract driven key performance indicators.
- Direct all Quality Control and Quality Assurance management operations including planning, implementation monitoring and reporting functions to ensure compliance objectives and targets are achieved.
- Develop and oversee an effective quality control and assurance systems for Operations to continuously identify opportunities for improvement while maintaining adherence to contract driven key performance requirements.
- Manage all Quality Control and Quality Assurance staff including Managers, Supervisors, and Analyst(s).
- Direct all quality management operations including planning, implementation, monitoring, and reporting functions.
- Collaborate with technical staff to design and develop reports.
- Distribute reports and background information to staff and external sources as required.
- Extract, aggregate, pivot, review, analyze and present data in various formats to management.
- Interact with Management and Operations to summarize findings
- Analyze existing systems, programs, policies, and organizational processes.
- Document “best practices” and continuously measure outcomes for desired results and improvements.
- Travel up to 50 percent of the time as needed.
- Develop and deliver quality control and quality assurance training for all employees engaged in quality and performance monitoring.
- Monitor all operations and related metrics for conformance with internal, external, contract performance, and quality standards.
- Aggregate and analyze quality data and suggest methods for improving product and service quality, design and/or business processes.
- Schedule and coordinate all the quality and performance monitoring activities of QA staff across the project.
- Manage internal and external clients' expectations related to quality management, and effectively communicate corporate quality standards across the project.
- Provide feedback on requirements and functional specifications.
- Monitor and evaluate the effectiveness of all areas of project operations and reports quality issues to project and unit management.
- Maintain an awareness of state and federal quality assurance practices and provide all project teams with updates on all issues regarding quality.
- Produce quality assurance and performance reports as required by contract and project operations.
- Perform other duties as assigned by management.
- Develops contractual and quality assurance oversight systems and goals and implements specific objectives to ensure oversight systems are adequate and goals are realized.
- Full authority and final responsibility for ensuring that all activities conform to the established Quality Management System.
- Develops and maintains positive and effective communications with the Department of Health Care Services (DHCS).
- Develops controls and provides direct oversight of all contractual and quality assurance functions.
- Performs timely reviews of staff in accordance with policy and makes recommendations for pay raises, bonuses, and the awards program based on approved policies and procedures for such.
- Ensures that the HCO Project is in compliance with the contract and all required facets of State and Federal regulatory requirements.
- Ensures quality standards are established, communicated, monitored, and maintained for each HCO functional area.
- Ensures contractual and quality assurance daily, weekly, monthly, and yearly reporting requirements are developed, met, and maintained.
- Audits required contract provisions and ensures contract compliance standards are identified and met.
- In accordance with ISO 9001, organizes and develops Management Reviews at planned intervals to ensure the Quality Management System’s (QMS) continuing suitability, adequacy, and effectiveness.
- Conducts various types of analyses including data, feasibility, technical, and workflow processes.
- Extrapolates audit report findings and prepares reports of audit findings which identify impacts, trends, and recommendations and provides project management with feedback on process or staff effectiveness.
- Maintains updated knowledge of contract compliance provisions for the project and department as well as ISO 9001 and serves as a resource for the CA HCO Project on such requirements.
- Directly oversees the ISO 9001 Internal Quality Audit Program.
- Directly oversees the Problem Correction Process and ensure that all the contractual and QMS requirements in this process met.
- Performs other duties as may be assigned by management.
- Bachelor's degree in relevant field of study and 7+ years of relevant professional experience required, or equivalent combination of education and experience.
- Bachelor’s degree from an accredited college or university in business administration, economics, applied mathematics, or relevant years of experience.
- Three-to-five years experience in quality management and managing quality assurance functions, preferably in a health and/or human services related environment.
- Computer literacy.
- Excellent people management skills
- Excellent organizational, interpersonal, written, and verbal communication skills.
- Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
- Ability to successfully execute many complex tasks simultaneously.
- Ability to work as a team member, as well as independently
- Strong analytical background.
Preferred qualifications:
- Master’s degree from an accredited college or university.
- Knowledge of or experience in working with the State of California contracting and auditing processes.
- Two years of experience in Quality Assurance, Internal Auditing, or Accounting in a healthcare or services-based environment.
- Certified Manager of Quality/Organizational Excellence.
- ISO 9001 Lead Auditor Certification.