Quality Improvement Facilitator II

Inland Empire Health Plan•Rancho Cucamonga, CA

4d•$91,250 - $120,910•Hybrid

About The Position

Reporting to department leadership with minimal supervision, the Quality Improvement (QI) Facilitator II works closely with front line leaders, external partners, and organizational teams to plan, organize, facilitate, and lead quality improvement projects. The QI Facilitator II has a strong understanding of IEHP’s strategic priorities and organizational goals and supports these goals through the development and implementation of QI program activities. The QI Facilitator II will skillfully use techniques of system design, project management, continuous quality improvement (e.g., brainstorming, cause and effect analysis, root cause analysis), outcomes measurements, and data analysis to support the development, implementation, and oversight of QI programs. Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Requirements

Minimum of four (4) years demonstrated experience requierd, at a professional level, in process/project management including participation in quality improvement projects or operations
Master’s degree (preferably in Public Health, Health Administration, Public Administration, or other healthcare related focus) from an accredited institution required
Strong working knowledge of: Healthcare quality performance and measurement sets including CMS quality withhold, Managed Care Accountability Set, NCQA Quality Improvement Standards and HEDIS
Project management techniques, tools of continuous improvement, and work process redesign
Standard coding sets used in quality measurement including ICD-10, CPT, CPT Category II, HCPCS, LOINC, NDC
Strong analytical and critical thinking skills
Proficient in all Microsoft Office applications, with an emphasis on Excel, PowerPoint, and Visio
Strong communication skills (verbal, written and listening) with ability to interact effectively
Ability to successfully apply facilitation techniques to quality improvement project teams to achieve optimal outcomes
Possesses problem solving, conflict management, and team building skills in order to ensure a productive work environment and achievement of quality goals
Skilled in reading and interpreting data
Ability to: Perform complex tasks, prioritize multiple projects and work under pressure to meet deadlines in a fast-paced environment
Successfully apply facilitation techniques to quality improvement project teams to achieve optimal potential
Exhibit high attention to detail

Nice To Haves

Prior experience in the health care setting preferred
Project Management Professional (PMP) Certification, Certified Professional of Healthcare Quality (CPHQ), or other recognized quality improvement certificate preferred

Responsibilities

Lead the facilitation for all levels of IEHP staff, hospital teams, and workgroups in the development and implementation of performance improvement initiatives related to successes in reaching established goals.
Oversee and monitor the development, implementation, and outcomes of quality improvement programs.
Prepare and present regulatory and committee, and other reports summarizing QI initiatives and the success and/or progress in reaching established goals.
Apply and teach standardized QI concepts and techniques to achieve established quality goals for both internally and externally developed quality improvement programs.
Lead and support ongoing development of shared organizational and external stakeholders’ quality improvement infrastructure including system design, identification of organizational QI initiatives, tracking of project evaluations/studies, tools, and resources for project monitoring.
Utilize subject matter expertise to assess and identify quality gaps and opportunities, facilitate quality improvement initiatives within the organization, and ensure timely project completion and expected outcomes.
Translate data into meaningful information, draws conclusions, and relates findings to industry standards. Provides recommendations to departmental stakeholders and QI Leadership Team regarding performance gaps, program implementation, and performance outcomes in order to maintain an effective QI Program
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.