Location:
Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment being 1-3 days in an office per week.
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
Responsible for developing a national quality improvement strategy for all lines of business.
PRIMARY DUTIES:
• Leads enterprise-wide quality strategy meetings.
• Develops and facilitates the integration of a national quality plan. Identifies and integrates best practices into state programs.
• Develops performance measurement plans and oversees the quality measurement implementation activities/projects.
• Participates in the development, management, review, and reporting of program outcomes for clinical quality programs.
• Assures compliance with corporate Quality measurement work plans.
• Ensures research program documentation meets regulatory and Accreditation Standards.
• Assures accurate and complete quantitative analysis of clinical data.
• Leads department projects and mentors’ staff.
• Prepares and presents program documents to senior management.
Minimum Requirements:
Requires a BS in health administration, nursing, or a related clinical field; 5 years of health care quality or data analysis experience; or an equivalent combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experience:
• Current unrestricted license or certification in an applicable field (i.e., CPHQ) or MS in the health field (i.e., health quality measurement, health services research, statistics, health economics) preferred.
• Extensive knowledge and experience of quality measurement is a plus.
• Hand-on working experience with quality measurement validity and reliability testing is strongly preferred.
• Knowledge of value-base contracting and clinic background is preferred.
Tagged as: Program director