Program Manager - Full Time - 8:00am-5:00pm - Quality (HEDIS )

The ideal candidate will possess the following qualifications:

• Bachelor's Degree in Business Administration, Business Management, Computer Science, or relevant field Required
• Master's Degree Preferred

• 4 years’ experience with a Health Plan / Medicare Advantage (MA) Organization working with HEDIS Project Management, Chart Abstraction, Vendor Relationships Required

• 3 years Project Management experience Required, preferably related to HEDIS, Quality Improvement, or other Accreditation Surveys

• Expert level knowledge of NCQA, HEDIS, Medicaid and Medicare Required
• Strong knowledge of STAR Ratings Preferred  

Skills
• Work requires ability to effectively manage payor relationships related to Quality work
• Work requires excellent oral and written communication skills
• Work requires excellent organizational skills.
• Work requires strong analytical/problem solving skills.
• Work requires ability to prioritize and organize work to meet deadlines, as well as time management.
• Work requires demonstrated ability and skills with project management and quality improvement tools, such as Microsoft Project, Visio, Excel, and SharePoint.
• Ability to manage multiple, complex projects with strict HEDIS deadlines.
• Thorough understanding of Statistics, Data Analytics, Modeling, Reporting Methods and Data Mining Methodologies

• Resourcefulness as demonstrated by the effective application of professional knowledge to new situations. Possess planning, organizing, conflict resolution, negotiating and interpersonal skills.