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Director of Quality and Process Improvement

The Director of Quality and Process Improvement for Vida Member Services is responsible for leading and overseeing quality assurance initiatives, process improvements and the implementation of service center applications to enhance operational efficiency. This role requires team management, strategic leadership, cross-functional collaboration and expertise in healthcare quality standards, process optimization and technology integration, preferably in contact center or other healthcare service operations environments.


Responsibilities:
  • Develop and oversee quality programs to ensure compliance with healthcare regulations (e.g., CMS, HIPAA).
  • Identify and implement training initiatives to enhance service center staff performance and quality.
  • Track and analyze KPIs to improve patient outcomes, operational efficiency and service quality.
  • Conduct audits, risk assessment, and root cause analyses to address quality-related issues.
  • Lead efficiency and cost-reduction initiatives using Lean, Six Sigma and other methodologies.
  • Identify inefficiencies and implement data-driven solutions to streamline processes.
  • Oversee the selection, implementation and optimization of healthcare applications (e.g., Genesys, Zendesk, Jira, Braze).
  • Partner with clinical, administrative and IT teams to align initiatives with organizational goals.
  • Lead a team of quality, training and process improvement professionals, fostering a culture of excellence.
  • Provide reports, recommendations and training on quality, process improvement and technology best practices to leadership and staff.


Qualifications:
  • Bachelor’s or Master’s degree in Healthcare Administration, Business, Quality Management or a related field.
  • Minimum 5 years of experience in healthcare quality, process improvement and/or healthcare technology implementation.
  • Strong knowledge of regulatory requirements (e.g., HIPAA, CMS) and quality improvement methodologies (Lean, Six Sigma).
  • Experience with omni-channel center applications such as genesys, Zendesk, Jira and workflow automation tools.
  • Proven leadership experience with the ability to drive change, manage teams and collaborate across departments.
  • Excellent analytical, problem-solving and project management skills.
  • Strong communication skills with the ability to engage and influence stakeholders at all levels.


$130,000 - $140,000 a year
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$140000K

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What You Should Know About Director of Quality and Process Improvement, Vida Health

Join Vida Member Services as the Director of Quality and Process Improvement, where you will have the exciting opportunity to lead impactful quality assurance initiatives and drive process improvements in our dynamic healthcare environment. In this role, you'll oversee the implementation of service center applications that enhance our operational efficiency and elevate patient outcomes. Your strategic leadership will be key in developing quality programs that comply with healthcare regulations like CMS and HIPAA. You will manage a talented team, fostering a culture of excellence and collaboration, while identifying training needs to boost staff performance. Your analytical skills will shine as you track key performance indicators, conduct audits, and implement data-driven solutions to tackle inefficiencies. Knowledge of technologies such as Genesys, Zendesk, Jira, and Braze will help you optimize our healthcare applications effectively. If you're passionate about improving healthcare services and have at least 5 years of relevant experience, we encourage you to bring your expertise and leadership skills to Vida Member Services and help us make a difference in our patients' lives.

Frequently Asked Questions (FAQs) for Director of Quality and Process Improvement Role at Vida Health
What are the main responsibilities of the Director of Quality and Process Improvement at Vida Member Services?

The Director of Quality and Process Improvement at Vida Member Services is responsible for leading quality assurance initiatives, managing a team, and overseeing process improvement strategies. They must ensure compliance with healthcare regulations like CMS and HIPAA, implement training for staff, track KPIs for increased service quality, conduct audits, and streamline processes using data-driven solutions. Additionally, they will work closely with various teams to align objectives with organizational goals.

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What qualifications are required for the Director of Quality and Process Improvement position at Vida Member Services?

For the Director of Quality and Process Improvement role at Vida Member Services, candidates should possess at least a Bachelor’s or Master’s degree in Healthcare Administration, Business, or Quality Management. A minimum of 5 years of experience in healthcare quality and process improvement is essential, along with strong knowledge of regulatory requirements and quality improvement methodologies such as Lean and Six Sigma.

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How does the Director of Quality and Process Improvement ensure compliance with regulations at Vida Member Services?

The Director of Quality and Process Improvement ensures compliance at Vida Member Services by developing quality programs that adhere to regulations like CMS and HIPAA. They conduct regular audits and risk assessments, track compliance metrics, and implement necessary changes to maintain high standards of healthcare excellence within the organization.

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What technologies should the Director of Quality and Process Improvement be familiar with at Vida Member Services?

Candidates for the Director of Quality and Process Improvement at Vida Member Services should be familiar with omni-channel center applications such as Genesys, Zendesk, Jira, and workflow automation tools, such as Braze. This knowledge will aid in optimizing healthcare applications and improving operational effectiveness.

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What is the salary range for the Director of Quality and Process Improvement at Vida Member Services?

The salary range for the Director of Quality and Process Improvement at Vida Member Services is between $130,000 and $140,000 per year, reflecting the high level of expertise and responsibility associated with this role in the healthcare industry.

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Common Interview Questions for Director of Quality and Process Improvement
Can you describe your experience with process improvement methodologies like Lean or Six Sigma?

When answering this question, detail specific projects where you successfully applied Lean or Six Sigma methodologies. Mention the challenges faced, steps taken to implement improvement processes, and the outcomes achieved, such as reduced waste or increased efficiency.

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How do you ensure that your team stays compliant with healthcare regulations?

Discuss your strategies for training and communicating regulatory requirements to your team, how you conduct regular audits, and your methods for keeping updated on changes to regulations, ensuring that everyone is equipped to maintain compliance.

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What strategies would you use to track and analyze KPIs effectively?

Explain your approach to selecting relevant KPIs that align with organizational goals. Include your experience with data analysis tools and how you use data to make informed decisions and drive improvements in service quality.

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Tell us about a time you led a successful training initiative.

Share a specific example where you identified training needs and developed a program that enhanced staff performance. Discuss the planning process, execution, and the measurable impact the training had on performance metrics.

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What experience do you have with implementing healthcare applications?

Provide an overview of your experience selecting and implementing applications. Mention specific platforms you've worked with, your role during the implementation process, and how the applications improved operational workflows.

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How do you handle resistance to change within teams?

Share techniques for addressing resistance, such as building trust, involving team members in decision-making, and effectively communicating the benefits of change. Provide an example if possible to illustrate your approach.

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What steps do you take to build a culture of quality within your team?

Discuss strategies for fostering a culture of quality, such as encouraging feedback, recognizing achievements, and providing continuous training. Emphasize your commitment to excellence and employee involvement in quality processes.

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How do you prioritize projects in a fast-paced environment?

Explain your approach to project management, discussing methods for assessing urgency and importance, stakeholder analysis, and how you align projects with organizational objectives to prioritize effectively.

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Describe a challenging audit you managed and how you handled it.

Narrate a specific situation where you conducted a challenging audit. Highlight the issues discovered, your approach to resolving them, and the positive outcomes from your management of this situation.

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What is your leadership style when managing a team of quality professionals?

Discuss your leadership philosophy, whether it's collaborative, transformational, or another style. Include examples of how you motivate your team, support their professional development, and encourage a results-oriented mindset.

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