Patient Care Resource Manager – Retrospective Review
The Ohio State University, Main Campus
Quality Program Development Manager – Quality Healthcare
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • Iowa, Kansas, Montana • 🇺🇸 United States
Visit company websiteSalary
💰 $68,700 - $123,700 per year
Job Level
Mid-LevelSenior
About the role
- Support the team in planning, organizing, monitoring, and provide oversight on cross functional interventions specific to performance improvement projects
- Oversee the creation and implementation of programs relevant to the organization's strategic initiatives
- Design and facilitate the development of various programs/systems, work flows, and integration efforts
- Act as the content and technical subject matter expert to the operation managers and directors for key project initiatives
- Prepare strategic analysis of potential business and/or operational opportunities in relation to new business, rebids, and QI targets
- Conduct needs assessments and identification to ensure the program teams and other external stakeholders receive information in a timely manner
- Partner with leaders and members of the Quality Analytics and Improvement Teams and determine data needs
Requirements
- Bachelor's Degree in a related field or equivalent work experience
- 5+ years of experience in direct program development, program management, and/or project management, preferably in a healthcare environment
- 3+ years of experience in managed care, plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP, dual eligibles, PCMH
- 2+ years of experience in design, develop and implement STARS, CAHPS, HEDIS and other enterprise quality related programs across a variety of settings
- A certification in one of the following is preferred: Six Sigma Certification Lean Certification Certified Professional in Healthcare Quality (CPHQ)
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
program developmentprogram managementproject managementdesignimplementationstrategic analysisneeds assessmentdata analysisquality improvementworkflow integration
Soft skills
planningorganizingmonitoringoversightfacilitationpartnershipcommunicationcollaborationleadershipsubject matter expertise
Certifications
Six Sigma CertificationLean CertificationCertified Professional in Healthcare Quality (CPHQ)
