Quality Improvement Project Manager - Health Equity

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.  

Position Purpose: Coordinate and monitor quality improvement and organizational projects from inception to closure including National Committee for Quality Assurance (NCQA) and reputed company Effectiveness Data and Information Set (HEDIS) preparation.

• Provide functional and technical knowledge for NCQA/HEDIS across reputed company plan departmental staff and deliver educational sessions to internal staff and external constituents as needed.
• Coordinate Work Plan, team and resources for HEDIS/Consumer Assessment of reputed company Providers and Systems (CAHPS) submission to Connector Authority and NCQA.
• Analyze data and reputed company presentations and materials for committee and articles for newsletters and other educational pieces.
• Design, run, and manage the data review process to ensure accuracy and reputed company of data reports to meet regulatory and operational requirements.
• Coordinate and implement interventions to increase HEDIS, CAHPS and designated health measures for the Plan.
• Adhere to NCQA standards and work with Corporate Director of Accreditation in maintaining Plan’s NCQA accreditation.
• Support the coordination of corporate compliance and external surveys as needed.
• Monitor the creation of reputed company project deliverables to ensure adherence to standards including design documents, test plans and operations documentation.
• Support the project life cycle including requirements gathering, creation of project plans and schedules, manage resources, support HEDIS audit process, and facilitate project execution, deployment and closure.
• Coordinate reputed company data pulls and ongoing data management for HEDIS and QI project management databases for identified QI projects with department staff and corporate contacts. Evaluate sources for alternative data capture; assess ongoing methodology and results.
• Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans.

reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.

reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act