The Manager of Provider Quality is directly responsible for the organization, direction and staffing of L.A. Care's Credentialing/Peer Review Committee, Peer Review and Potential Quality Issues (PQI) reviews, committees and functions. Responsibility includes regulatory compliance, oversight of plan partner/specialty health plan related operations, operations for direct lines of business and/or management services agreement functions, and interfacing with external agencies including other Local Initiatives, Plan Partners, Specialty Health Plan and Community Based Organizations.  Critical to the position is ensuring that the information is protected and processes are developed and implemented in accordance with regulatory and legal statutes.

Qualifications

• Bachelor's Degree in Nursing
• At least 6-8 years quality improvement or peer review or credentialing experience in health care organization, preferably from an HMO/managed care organization.
• At least 3-5 years of supervisory/management experience.

About the Hospital

As the nation's largest publicly-operated health plan, we have a great responsibility to the communities we serve, and our employees play an essential role in ensuring we meet those needs.

Why Join Us?
Opportunity. Amazing co-workers. A supportive management team. Great compensation and benefits. Camaraderie and a true sense of mission. If you want a career that truly contributes to the good of all, join us as we work towards a healthier L.A.