Director of Quality Studies

DescriptionDirector of Quality Studies

• Are you an experienced Director of Quality Studies looking for a new challenge?
• Do you value care management and quality improvement?
• Are you motivated, energetic, and excited to become part of the Kepro team?

If so, you might be our next new team member!Who We NeedThe Director of Quality Studies provides the principal leadership and clinical expertise to operations on all medical aspects relating to quality studies for Ohio State Medicaid Program. Additional key responsibilities may include assisting and promoting business development and strategic planning activities.Why us?Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting.People Focused. Mission Driven. Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise.We do this through our people.At Kepro, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and we provide the training and support to do the best work of your career.Benefits are a key component of your rewards package at Kepro. These benefits are designed to provide you and your family additional protection, security, and support for both your career and your life away from work. They are comprehensive and fit a variety of needs and situations. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.What You’ll Do

• Responsible for research and sampling design of studies, including clinical measurement. Evaluate, redirect and/or respond to inquiries from physicians, providers and customer. Consult with general and/or specialty practitioners regularly and as necessary as business needs require.
• Represent and promote KEPRO at seminars, professional societies, medical staff meetings, and other professional settings as appropriate.
• Foster appropriate external relationships with attending physicians/surgeons by response to telephone calls and letters, speaking engagements before physician and provider organizations.
• Analyze and remain current on national, state, and local regulations and legislation, which impacts the health care profession.
• Review medical information trends, experiences and approaches, and assists in the development of strategic plans for clinical improvements.
• Ensures compliance with regulatory and accreditation requirements.
• Responsible for oversight of medical content of company publications.
• Responsible for assuring that studies take into account existing clinical practice guidelines, as well as other previous clinical studies using the same research techniques or performed in the same clinical areas.
• Responsible for assuring that studies are designed to meet the objectives and answer the research questions agreed upon by Ohio Medicaid

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.What You’ll NeedRequired Qualifications

• M.D., D.O., or clinical Ph.D.

Knowledge, Skills, Abilities

• Strong knowledge in quality assurance and utilization review is required.
• Contemporary clinician who understands major trends in healthcare and managed care.
• Ability to work effectively with a diversity of personalities. Must be approachable; show respect for others, and a consensus builder.
• Systems thinker with strong organizational skills who can pull all the pieces together and deliver on time and within budget.
• Adaptable with strong collaborative management style, a creative thinker with high energy and enthusiasm, and a team player who promotes the concepts of people working together.
• Able to adapt to frequently changing work parameters.

Experience

• Minimum 5 years experience in clinical research, including at least three (3) studies.
• Experience in Utilization Management, Case and Disease Management with knowledge of Medicaid and Medicare programs preferred.
• Prior review experience or quality assurance committee responsibility in a hospital setting preferred.

Thank You!We know your time is valuable and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Kepro and invite you to apply to future openings that may be of interest. Best of luck in your search!~ The Kepro Talent Acquisition TeamMental And Physical RequirementsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.EOE AA M/F/Vet/DisabilityKepro is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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