Quality Improvement Project Manager II

L.A. Care Health PlanLos Angeles, CA
254d$77,265 - $123,625

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About The Position

The Quality Improvement Project Manager II is a healthcare project specialist who is responsible for managing day-to-day operations of a portfolio of projects, and providing support for ongoing special projects within L.A. Care's Quality Improvement Department. In this role, the Project Manager is responsible for ensuring program activities are completed in a high quality and timely manner and ensuring compliance with all regulatory guidelines such as Medicaid (Medi-Cal), Medicare, Health Exchange, and Healthy Kids as well as National Committee for Quality Assurance (NCQA) Accreditation. Successful candidate must have excellent project management, analytic, reporting, and written and oral communication skills. In addition, candidate is detail-oriented and self-motivated. This position works on various quality improvement projects including, but not limited to: Implementation of any new product lines; Data collection and analysis using internal data and using various analytic tools to develop interventions to improve overall member satisfaction, such as grievances and appeals data, CAHPS surveys, Healthcare Effectiveness Data and Information Set (HEDIS) results and network access and availability. NCQA Accreditation readiness and oversight. Delegation oversight. Vendor contract management and operations. Nurse Advice Line management and oversight. Inter-departmental committee participation.

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