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Quality Improvement Program Manager
Blue Cross Blue Shield of ArizonaQuality Improvement Program Manager at AZ Blue overseeing Medicaid performance measures and supporting improvement functions. Requires 5 years of healthcare experience and a Bachelor's degree.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in performance measure monitoring and improvement within the Medicaid Segment, with a strong focus on analyzing data to provide actionable insights and recommendations. Proven ability to oversee performance measures in both behavioral and physical health care settings while ensuring compliance and identifying trends.
Highest-signal resume keywords
Performance Measure MonitoringData AnalysisStaff SupervisionHealth Care Payer ExperienceCompliance Tracking
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Performance ImprovementData EvaluationTechnical Specification ReviewTrend AnalysisCompliance Gap Identification
Soft Skills
CommunicationLeadership
Industry Keywords
Managed Care OrganizationMedicaid SegmentBehavioral Health CarePhysical Health CareProvider Network
About the role
Key responsibilities & impact- Support performance measure monitoring and improvement functions for the Medicaid Segment’s managed care organization
- Oversee performance measures across the organization and provider network for both behavioral and physical health care
- Monitor, review, and evaluate performance measure data and technical specifications
- Supervise staff performing performance improvement and monitoring functions
- Analyze data and communicate insights and recommendations to internal teams and provider agencies
- Monitor and track provider performance to identify trends, issues, and compliance gaps
Requirements
What you’ll need- 5 years of experience in the health care payer or provider space
- Bachelor's Degree
Benefits
Comp & perks- Health insurance
- Flexible work arrangements