Clinical Quality Prog Admin (US)

Elevance Health•Indianapolis, IN

2d•Hybrid

About The Position

The Clinical Quality Program Administrator will be responsible for overseeing the quality improvement activities/projects as outlined in the Quality Improvement (QI) work plan and as required by applicable law, regulations and accreditation standards. This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

Requirements

Requires a BS in health administration, nursing or related clinical field; 3 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Demonstrated ability to review, analyze, and interpret data to identify trends, issues, and actionable insights.
Experience assisting with drafting, formatting, and proofreading data reports, dashboards, summaries, or slide decks.
Comfortable providing day-to-day administrative support, including preparing meeting agendas, coordinating logistics, taking accurate meeting minutes/notes, and tracking follow-ups and action items.
Experience supporting committees or working groups by managing schedules, maintaining documentation, organizing materials, and ensuring timely communication and follow-through across stakeholders.

Responsibilities

Ensures integration of quality into the overall business process.
Performs assessments to identify gaps in the enterprises quality and technology assessment processes and initiates actions to correct these gaps.
Assures accuracy and completeness of input provided to internal and external QI committees and timely implementation of appropriate interventions.
Oversees the clinical quality improvement activities/projects to implement appropriate clinical interventions to improve the quality of care for members.
Assures compliance with corporate QI work plans.
Assures QI activities are relevant to the targeted population.
Assures compliance to Practice Guideline, Delegation and Continuity and Coordination of care Standards.
Maintains documentation of research programs to meet regulatory and Accreditation Standards.
Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of results.
May provide oversight to the Healthcare Effectiveness Data and Information Set (HEDIS) project team.