[PART_TIME Remote] Manager, Healthcare Quality Project Management

Be a part of something bigger. We're looking for a Manager, Healthcare Quality Project Management! This position offers a hybrid work model, combining remote work with time in our Remote office. This position requires a strong and diverse skillset in relevant areas to drive success. Your contribution will be valued, with a compensation package starting at a competitive salary.

 

 

Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary Position Summary: The Manager Health Care, Quality Project Management leads cross-functional activities throughout the health plan to address CAHPs and BH survey responses and ensure effective implementation of these activities to reputed company positive outcomes. This person will facilitate collaborative partnerships with different departments to meet NCQA standards while monitoring for state requirements as they align with Health Plan goals of maintaining and sustaining accreditation status, as well as looking to advance the Health Plan for other accreditation opportunities. In addition, this person will have knowledge of how population health is integrated throughout the plan and will support program creation. Most importantly, the role will involve a thorough knowledge of how to write and reputed company a QAPI workplan, QAPI program description and evaluation while working with the QM director in managing expectations from the different areas to fulfill these requirements. • Accountable for NCQA and state projects and initiatives through direction setting and leadership • Develops readiness assessment schedules, conducts in house audits regularly, and ensures changes to the standards are incorporated • Collaborates with business leads to identify variances and areas for improvements and implements project plans to ensure resolution and compliance to NCQA standards • Schedules and conducts NCQA work group meetings to produce and reputed company the QAPI work plan, evaluation and programs • Facilitate ongoing annual qualitative and quantitative analyses, assuring business owners are taking action on their opportunities for improvement • Quality Improvement Projects Assists in quality improvement initiatives reputed company to accreditation, including but not, limited to the engineering of operational processes to improve efficiencies and reputed company reputed company quality improvement • Trains and onboards staff and business leads on NCQA standards, and ongoing to ensure their continuing understanding of requirements • Manages CAHPS and provider satisfaction surveys • Creates and identifies work groups to address and reputed company action items based on CAHPS, Behavioral Health satisfaction surveys and provider satisfaction results including monitoring of implementation of actionable items reputed company the plan • Coordinates QMOC, QMC and UMC • Oversees maintenance of reputed company distinction award and/or other accreditations • Performs regular audits of website, member handbooks, provider manuals and newsletters for NCQA compliance Required Qualifications • 3 years experience in a project management role. • 3 years experience working in the Health Care Insurance Industry. • Must have full understanding of NCQA standards • Must be proficient in reputed company reputed company office Suite, especially reputed company reputed company. • Must be analytical and able to interpret data • Must be reputed company and able to communicate to multiple internal and external stakeholders. • Must have experience in leading an organization through accreditation • Must be a proficient writer an possess an reputed company ability to communicate effectively written and orally. Preferred Qualifications CPHQ certified or PMP certified Education Bachelors Degree or equivalent work experience. Pay Range The typical pay range for this role is: $60,300.00 - $132,600.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | reputed company We anticipate the application window for this opening will reputed company on: 01/31/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for the team, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area. Apply Job!

 

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