Quality Improvement Manager. The Contractor shall employ a Quality Improvement Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. The Quality Management Manager shall, at a minimum, be responsible for directing the activities of the Contractor’s quality improvement staff in monitoring and auditing the Contractor’s health care delivery system, including, but not limited to, internal processes and procedures, provider network(s), service quality and clinical quality. The Quality Improvement Manager shall assist the Contractor’s Compliance Officer in overseeing the activities of the Contractor’s operations to meet the State’s goal of providing health care services that improve the health status and health outcomes of Hoosier Healthwise members. For more information regarding the quality management requirements, see Section 6.0.
Quality Improvement Manager. The Contractor must employ a Quality Improvement Manager. The Quality Improvement Manager must, at a minimum, be responsible for directing the activities of the Contractor’s quality management staff, under the direct supervision of the Medical
Quality Improvement Manager. The Contractor must employ a Quality Improvement Manager who is dedicated full-time to the PathWays program. The Quality Improvement Manager shall, at a minimum, be responsible for directing the activities of the Contractor’s quality improvement staff in monitoring and auditing the Contractor’s health care delivery system, including, but not limited to, internal processes and procedures, provider network(s), service quality and clinical quality. The Quality Improvement Manager shall assist the Contractor’s Compliance Officer in overseeing the activities of the Contractor’s operations to meet the State’s goal of providing health care services that improve the health status and health outcomes of PathWays. For more information regarding the quality management requirements, see Section 7.0.
Quality Improvement Manager. The Contractor must employ a Quality Improvement Manager. The Quality Improvement Manager must, at a minimum, be responsible for directing the activities of the Contractor’s quality management staff, under the direct supervision of the Medical Director, in monitoring and auditing the Contractor’s health care delivery system, including, but not limited to, internal processes and procedures, provider network(s), service quality and clinical quality. The Quality Improvement Manager must assist the Contractor’s Compliance Officer in overseeing the activities of the Contractor’s operations to meet the State’s goal of providing health care services that improve the health status and health outcomes of Hoosier Care Connect members. For more information regarding the quality management requirements, see Section 7.1.
