Conducted over 6,000 listening sessions at the local and national levels to ensure monthly productivity and quality goals were met. Verified employers. Quality Manager Resume Sample | MintResume 5 years), Managerial experience and proven experience in continuous improvement project is a plus, Self-motivated individual with a can-do attitude, Masters degree in Nursing (or medical degree), Health Care Administration, Business Administration, Public Health or Masters degree in a related field; preferred, 10 years of experience in a healthcare environment which includes significant leadership roles and previous accountability for broad Continuous Quality Management (CQM) initiatives, 6 years of leadership/management of others to include team leadership and supervision of management level roles, Demonstrated expertise in driving positive, strategic results related to NCQA, HEDIS, or Clinical Quality Performance Measurement and Improvement Programs, Strong qualitative and quantitative data analysis skills and experience, Continuous Quality Management (CQM) experience in a Managed Care Organization strongly preferred, Population health management and/or clinical quality program development experience strongly preferred, Receive, research, document and resolve quality of care issues utilizing standardized processes and centralized database, Track, trend and monitor status of cases to ensure accurate and timely completion and appropriate referrals, Ensure research and resolution for quality of care issues in a timely manner as assigned and identify systemic issues for AHCCCS to address, Participate in operational reviews, technical assistance and focused studies/reviews, including the CRS program, to ensure compliance with contractual and policy requirements for all lines of business, Follow-up on written reports, corrective action plans, notices to cure and sanctions as appropriate, Ensure quality of care to AHCCCS members, including ensuring member dignity and respect, focused on their unique special health care needs, timely correspondence with member acknowledging receipt and upon resolution of the issue, Use appropriate judgment regarding data to research, status level, interventions, and appropriate resolution, Current active Arizona RN license; experience in medical/nursing practice, medical case management protocols, utilization review protocols as related to the Acute, LTC, chronic long-term elderly and physically disabled, developmentally disabled, behavioral/mental health and Tribal population, Strong interpersonal skills in order to effectively interact with AHCCCS members and their families; multi-disciplinary professions; and Contractor representatives, Demonstrated experience with State and Federal policies and procedures governing Title XIX, Title XXI, Managed Care, LTC duals, SMI, special health care needs, and Tribal, Ability to assess members from a holistic perspective recognizing medical, social, environmental and emotional conditions that interfere with the member's ability to function within his/her limitations, Skilled in acute nursing and clinical processes including assessment, planning, intervention and evaluation, Develop, implement and review case management and utilization review systems and the ability to offer technical assistance to Acute, LTC, sister Agency and/or Tribal Contractors, Social work/behavioral health certification or licensure, Certified professional in healthcare quality, 8+ years in the buy side financial industry (asset management, private banking), Ability to lead and mentor the team during time sensitive and high pressure activities, Detailed understanding of Pricing and Analytics across multiple asset classes, Understanding of Security Master Data (SMF) and the impact of that data on Pricing and Analytics, Strong experience in Data Quality and Root Cause Analysis, Ability to quickly learn in a time sensitive and high pressure environment, Good understanding of trade lifecycle as it relates to SMF and the operational support, Experience with portfolio and trading platforms including Aladdin and Charles River, Hands on experience utilizing Open Bloomberg and Reuters, Experience utilizing multiple vendor pricing and analytic sources, Proven analytical skills, problem solving ability, and a control mentality paired with meticulous attention to detail, Ability to manage multiple concurrent tasks with dynamic and aggressive deadlines, Self-motivated and proactive team player, who takes ownership and accountability of projects, has strong organizational skills as well as the ability to effectively manage competing priorities, Experience communicating complex operational flows to varied audiences in verbal and written mediums, Develops new research initiatives and/ or clinical quality studies or activities, Trains Clinical Quality Management staff on data abstraction activities for studies, Maintains confidentiality and non-discoverability of all activities, Collaborates with departments to identify, develop and evaluate programs which improve the delivery of clinical quality health care, Contributes to creating, reviewing, and revising of QM study plans, Contributes to the development of study policies, and procedures, Participates in regional quality studies including obtaining baseline data, conducting interventions, monitoring, re-measurement, reporting, Works with HEDIS- Like measures, and develops interventions, Conducts and completes quality improvement interventions, Assist UHC M&V staff with accreditation activities, Assist in the development of UHC M&V Patient Safety Initiatives, Refer potential recommendations from studies to Program Integrity, Case Management, Disease Management, and Potential Quality Issues to Clinical Quality, Unrestricted RN license in the state in which you reside, 1 year experience conducting research or studies, Comprehensive knowledge of research methodology, HEDIS measures, benchmarking, Intermediate computer skills with emphasis on Excel, Access, and PowerPoint, Masters degree in Nursing, Administration or Business, Facilitates assigned process improvement initiatives by using problem-solving methodology, root cause analysis and/or FMECA, Fosters a positive first impression by ensuring all work areas are organized, clean and project a professional appearance, One to three years recent experience within an acute clinical practice, Demonstrates responsibility and accountability in the organizational wide direction and facilitation of performance assessment, reassessment, development and implementation of the Quality/Performance Improvement program in accordance with all regulatory requirements, Utilizes, integrates, and interprets data to assist organization in its improvement efforts, and promote optimal patient outcomes. Skills : Microsoft Excel, Quality Management. Uses appropriate measurement, analysis and evaluation methods to accurately identify and document process improvements, Validates actual cost computation savings from projects with Finance, Conducts sustainability checks related to Quality Management and Process Improvement, Supports Document Control team in ensuring real time processing of documents submitted by owners to be able to meet the daily, weekly, monthly and quarterly Document Control SLA and metric targets and provide real time implementation of document changes to the shop floor, Develops, prepares and publishes value adding reports related to Quality Management and Process Improvement, Provides support to Global QMS, Global SPS, Downstream Quality and WW COPQ Program as required by Quality Manager, Performs other duties and tasks that may be assigned from time to time that support Business needs and Team objectives, Knowledge in any of the problem solving and continual improvement methods/tools such as but not limited to TPM, Kaizen, QC Story, Error Proofing, FMEA and VSM, Proven track record in leading and/or facilitating improvement projects, conducting quality audits and training, Six Sigma Greenbelt, Lead Auditor and COPC certifications preferred, Excellent written and verbal communication skills; can communicate across all levels within the organization, Very good computer skills; proficient in MS Office and statistical tools such as but not limited to Minitab, and SAS JMP, Willing to be assigned in different shifts within the week depending on the need, 4 - Decision Making and Systematic Problem Solving, 4 Coaching and ability to train, communicate with managers and staff-level, Align quality standards with the worldwide production network of the VAN Division. As a quality control manager, you must be able to deal with large teams. The resume ends with an education section that features the MBA degree along with a B. S. and A. Review Customer complaints with appropriate plant department to assure corrective action measures are applied to prevent reoccurrence. This is not an IT role the leader will act as an interface between the business and data, with a strong hands-on understanding of the underlying data quality, accuracy and integrity problems, 3 years of experience leading and managing a small to medium sized team, 4 years of experience with building business validation checks and controls around data quality, integrity, accuracy and comprehensive, Strong business process aptitude, and an ability to quickly learn business processes and how the processes link to back-end data and the data quality and accuracy issues, 8 years of professional experience in a corporate environment, 5 years of experience in Business Intelligence, Business Information Management, Data Analysis, Operational Reporting, Data Warehousing, 5 years of experience in correlating business processes and IT applications to back-end databases and systems, 5 years of experience as a strong hands-on SQL developer with skills to manipulate, join, aggregate, filter and prepare data with the eventual goal of validation and cleansing of the data, Experience working for a large enterprise with fragmented data sources, lack of documentation, unstructured requirements and ambiguity, Experience working with business leaders and an ability to collaborate with business partners to co-create data and analytical solutions, Patience, resilience, comfort with ambiguity, strong drive, an agreeable, collaborative personality, and a desire to go above and beyond what is required of the job responsibilities to deliver value to the business, Experience working with business stakeholders and senior leaders in understanding data analytics and information needs, and executing on transformation of high-level, abstract data needs into meaningful data management solutions, information and analysis, Identify, plan and participate in the delivery of process improvements, Participate in Project meetings (Daily Scrums, Retrospectives, test plan review etc) as the testing subject matter expert using software quality principles, business systems knowledge and/or previous testing experience to review the requirements, Lead regular and reoccurring project defect reviews with the project delivery team, Communicate the status of testing by gathering project metrics, burn-down charts and milestones and communicate them effectively to project delivery team and leadership teams, Manage a small team of individual testers in both offsite and onsite locations, An advanced degree (M.S., etc.) My friends think I'm smart (I'm not). Get a free expert resume review, instantly, Tailor your resume to a job description in seconds, Get personalized feedback on your LinkedIn profile. Serve as QA electronic system validation expert and will provide oversight and . Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. A temporary permit will be accepted for appointment to this position, but a license is a prerequisite for permanent status, RN with at least three (3) years of professional experience in QM/ Quality Improvement, RN with a Masters Degree in a related field such as healthcare administration, nursing or public administration, RN with familiarity of Arizonas healthcare programs, including: Arizona Early Intervention Program (AzEIP), Childrens Rehabilitation Services Program (CRS), Arizonas Regional Behavioral Health Authorities (RBHA) and other state and local resources, Special training/certification in QM and Quality Improvement, Receiving, researching, documenting and resolving quality of care issues utilizing standardized processes and centralized databases, Participating in operational reviews ensuring compliance with contractual and policy requirements for all lines of business. HALO, Customer Assist, iVault) and/or familiarity with the firm's internal systems and processes are a plus, Strong documentation skills to clearly articulate disposition, Serve as mentor to Quality Management Specialist Analysts to help build a path for success, Ensure data was accurately collected and documented (i.e. Promotes an environment that supports internal and external customers by empowering them to participate in preventing the spread of infections, Uses information to identify infectious disease process and outbreaks to initiate epidemiologic investigations and interventions. BS In Math, Computer Science, Business Economics, B.S. Working knowledge of Microsoft Office software (Word, Excel, Access, PowerPoint, etc.) Maintained about 3400 activities of quality processes according to ISO 9001 2015, eTOM, ITIL. Perform facility internal audits and set up corrective action plans to address non-conformances, Develop SOP's and SSOP's for the facility, Responsible for monitoring all hospital risk, patient safety events, and reporting necessary information to the appropriate regulatory agencies, including oversight of all aspects of the occurrence reporting cycle, Created and maintained all clinical policies, procedures, plans, and forms, with any other department crossover and oversight, Provided physician support and education for Electronic Medical Record documentation, Continued responsibilities as Performance Improvement Nurse responsibilities, Responsible for hiring personal for quality team, Worked with production managers & quality managers at Plant 45 on quality of product supplied to chassis divisions, In training to become Director of Quality for Chassis division, Liaison with customers, sales, & production to provide specific SPC and statistical data concerning products and technical assistance for each group, Perform internal audits of key processes for multiple plants in accordance to ISO 9001, Develop new products and more efficient production processes, Supervise employees in quality related work.

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