Program Manager, Senior

BSC • Long Beach, CA

89d

About The Position

The Quality Improvement Team is accountable for quality ratings of the organization and the development and execution of targeted, quality improvement initiatives in support of the commercial medical groups, hospitals, affiliated providers, and our CalPERS membership. The Program Manager, Senior will report to the Manager, Program and Project Management. In this role you will be responsible in the commercial line of business for the development and execution of targeted, quality improvement initiatives with our external provider group partners to achieve improved outcomes in HEDIS measures. You will partner with other lines of business and align quality interventions to the organizational strategies for HEDIS, QRS, CAHPS, and our CalPERS membership. The Program Manager will manage to data driven outcomes and targets helping to facilitate getting provider data into our Blue Shield systems.

Requirements

• Experience in quality improvement initiatives within healthcare settings.
• Strong understanding of HEDIS measures and quality ratings.
• Ability to manage projects and collaborate with external partners.
• Data analysis skills to drive outcomes and targets.

Nice To Haves

• Experience with CalPERS membership and related quality improvement initiatives.
• Familiarity with QRS and CAHPS measures.

Responsibilities

• Develop and execute targeted quality improvement initiatives in collaboration with external provider group partners.
• Achieve improved outcomes in HEDIS measures for the commercial line of business.
• Align quality interventions with organizational strategies for HEDIS, QRS, CAHPS, and CalPERS membership.
• Manage data-driven outcomes and targets related to quality improvement initiatives.
• Facilitate the integration of provider data into Blue Shield systems.

What This Job Offers

• Career Level: Senior
• Number of Employees: 5,001-10,000 employees