The Rapid Quality Improvement team is responsible for the development and execution of targeted, quality improvement initiatives in support of the commercial medical groups, hospitals, and affiliated providers to close gaps in care for our members. The Program Manager, Consultant will report to the Senior Manager, Quality Improvement. In this role you will execute data improvement efforts, incentive strategies, and new improvement tactics to raise HEDIS, QRS, and CAHPS outcomes in partnership wi... more details
Your Role
The Rapid Quality Improvement team is responsible for the development and execution of targeted, quality improvement initiatives in support of the commercial medical groups, hospitals, and affiliated providers to close gaps in care for our members. The Program Manager, Consultant will report to the Senior Manager, Quality Improvement. In this role you will execute data improvement efforts, incentive strategies, and new improvement tactics to raise HEDIS, QRS, and CAHPS outcomes in partnership with select California providers. To do this, the Program Manager, Consultant is expected to coordinate with internal, cross-functional matrix teams, as well as with executive leadership and clinical staff in provider organizations. The Program Manager, Consultant will be responsible for participating in project teams and work with external vendors, assigning, and monitoring work of team members and providing guidance and leadership to ensure timely execution of deliverables, that are within budget.
Your Work
In this role, you will:
Provide overall program leadership, guidance, and manage all aspects of a given program, including requirements gathering, business case creation, and implementation
Impart steady leadership in the face of uncertainty, change, and aggressive deadlines common to a rapidly growing company with an evolving business model
Lead internal and external cross-functional meetings and foster teamwork; drive escalation and resolution of issues, while promoting collaboration and coordination across broad categories of stakeholders
Support and coach project managers within the program, while providing technical expertise in planning, execution, and leadership of program, projects, and initiatives
Be accountable for independently building strong, collaborative relationships with targeted provider organizations and with internal partners
Educate and work with external partners and participating practices as needed to identify innovation opportunities and adopt improvement actions
Manage programs from initiation/pilot phase through delivery/spread and monitor for continuous improvement
Serve as a quality outcome (HEDIS, QRS, CAHPS) expert with internal and external constituents
Facilitate data flow between our provider partners and the company’s data systems
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