Program Manager, Clinical Quality
Blue Cross Blue Shield of Massachusetts
full-time
Posted on:
Location Type: Office
Location: Boston • Massachusetts • United States
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Salary
💰 $98,910 - $120,890 per year
About the role
- Developing, managing, and coordinating Health and Medical Management (HMM) quality improvement activities
- Analyzing current HEDIS/HOS, Stars, and/or QCR performance
- Collaborating with internal stakeholders such as Performance Measurement and Improvement
- Using CQI tools to facilitate improvement
- Collecting, analyzing, and validating data used in quality initiatives
Requirements
- Bachelor’s degree in clinical discipline required; Master’s Degree preferred and/or RN or clinical professional with active Massachusetts license preferred
- 3 years clinical experience or experience in managed care industry, and in quality improvement management
- Knowledge of CQI principles
- Familiarity with NCQA, CMS, and/or QCR regulatory standards and reporting
- Demonstrated ability to facilitate teams and work collaboratively with various levels within HMM
- Project management, program management, program design, program implementation and measurement
- Proven excellent interpersonal, verbal, and written communications skills
Benefits
- paid time off
- medical/dental/vision insurance
- 401(k)
- comprehensive package of benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
HEDISHOSCQIquality improvementdata analysisperformance measurementprogram managementprogram designprogram implementationdata validation
Soft Skills
collaborationteam facilitationinterpersonal skillsverbal communicationwritten communication
Certifications
Bachelor’s degreeMaster’s degreeRN licenseactive Massachusetts license