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Quality & Accreditation Program Manager
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- The VBC Quality Program Manager provides Project Management (PM) planning, coordination, documentation and implementation of simple to complex Quality Improvement (QI) projects.
- Responsible for supporting primary care practices in activities to include population health and quality efforts associated with or required by the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), the Department of Medical Assistance Services (DMAS), the Centers for Medicare and Medicaid Services (CMS) and as outline in our VBC contracts to meet quality metrics.
- Responsible for quality and/or population health related activities to include accreditation, regulatory, or value-based care efforts associated with or required by the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), the Department of Medical Assistance Services (DMAS), the Centers for Medicare and Medicaid Services (CMS) and other State and/or Federal Government entities.
- Knowledge of NCQA, HEDIS, CAHPS, or STARs required.
- Knowledge of medical terminology, CPT, ICD-10 coding preferred.
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