Quality Project Management Professional
About The Position
Become a part of our caring community and help us put health first The Quality Improvement Professional implements quality improvement programs for all lines of business including annual program description, work plan, and annual evaluation. The Quality Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. You will partner with the Sr. Quality Improvement Professional(s) on projects and deliverables. The Quality Improvement Professional understands department, segment, and organizational strategy and operating goals, including their linkages to related areas. The position makes decisions regarding work methods and receives guidance where needed. Assist the senior professionals with data gathering required for strategy development and care gap closure. Follow established guidelines/procedures. Use your skills to make an impact
Requirements
- Bachelor's degree or equivalent experience
- Prior quality improvement experience in health insurance or health care setting
- Understanding of healthcare quality standards
- Comprehensive knowledge of Microsoft Office Word, Excel and PowerPoint
- Must reside in state of Oklahoma
Nice To Haves
- Knowledge of QI methodologies (i.e. IHI model of improvement) and familiarity with QI Tools (i.e. FMEA, KDD, workflows/diagrams, root cause analysis)
- Understanding of healthcare quality measures (i.e., HEDIS, CAHPS, STARS, CMS etc.)
- Lean/Six Sigma certification
- CPHQ certification
- Knowledge of policies and systems used in quality improvement
- Prior experience in Medicaid membership
- Experience in member/provider education and communication.
Responsibilities
- Implements quality improvement programs for all lines of business including annual program description, work plan, and annual evaluation.
- Partner with the Sr. Quality Improvement Professional(s) on projects and deliverables.
- Assist the senior professionals with data gathering required for strategy development and care gap closure.
- Follow established guidelines/procedures.
Benefits
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
