PacificSource Health Plans

Program Manager

• Manage the NCQA Health Equity accreditation process, including planning, coordinating, and maintaining compliance with all applicable NCQA standards
• Oversee the NCQA Health Equity accreditation work plan and lead multidisciplinary teams to ensure continuous readiness for accreditation
• Develop and manage workflows, policies, and procedures that support health equity initiatives
• Maintain accurate documentation and reports for accreditation audits and regulatory reviews
• Prepare and present reports on quality improvement activities and accreditation status to leadership
• Represent the organization during accreditation site visits, audits, and meetings
• Offer functional and technical expertise on health equity standards to all departmental staff and conduct educational sessions as needed
• Assist in developing and implementing health equity programs to address health disparities, focusing on measurement and quality improvement
• Collaborate with internal teams to collect and analyze data related to health disparities, population health trends, and social risk factors
• Collaborate with cross-functional teams to integrate equity-focused initiatives into care management, member engagement, and provider networks
• Monitor performance metrics and recommend program improvements to enhance health equity efforts
• Stay current with the latest NCQA Standards and regulatory requirements, ensuring that updates are applied accordingly
• Support internal training and education on cultural competency, implicit bias, and health equity best practices
• Assist in organizing workgroups, meetings, and advisory committees focused on equity-driven healthcare initiatives
• Actively participate in various strategic and internal committees to disseminate information and represent company philosophy
• Develop, review, and update policies and procedures to align with health equity standards

Health Equity Accreditation Program Manager

Business Analyst

• Optimize staffing, scheduling, and real-time contact center performance
• Analyze historical trends to develop forecasts
• Create and manage agent schedules
• Monitor real-time volume and service levels
• Automate forecasting and reporting processes
• Execute intraday schedule adjustments
• Identify and resolve intraday risks or issues
• Produce KPI reporting and deliver updates
• Document incidents and actions for continuous improvement
• Present actionable insights to leadership
• Partner with various teams to resolve service level issues
• Administer WFM/ACD platforms for various tasks

Health Equity Accreditation Program Manager

Workforce Management Analyst