Quality Program Manager - The Colony, TX
The ideal candidate will possess the following qualifications:
Education
Bachelor's Degree in Business
Administration, Business Management, Computer Science, or relevant field
Required
Master's Degree Preferred
Experience
4 years’ experience with a
Health Plan / Medicare Advantage (MA) organization working with HEDIS Project Management,
Chart Abstraction Vendor Relationships Required
3 years’ experience in Project Management preferably related to HEDIS, Quality
Improvement or other Accreditation Surveys Required
Expert level knowledge of NCQA,
HEDIS, Medicaid and Medicare is Required.
Thorough understanding of Statistics, Data Analytics, Modeling, Reporting Methods
and Data Mining Methodologies Required
Strong knowledge of STAR ratings is Preferred
Certified Professional Healthcare Quality (CPHQ) Certification Preferred
Project Management Professional (PMP) Certification 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, SharePoint,
or Qeystone.
Ability to manage multiple, complex projects with strict HEDIS deadlines.
Resourcefulness as demonstrated by the effective application of professional
knowledge to new situations. Possess planning, organizing, conflict resolution,
negotiating and interpersonal skills.
Supervision
Individual Contributor
ADA Requirements
Working Indoors 67% or more
Physical Demands
Sedentary