Lead the Quality Improvement program for US Family Health Plan - PacMed to drive high performance and continuous quality improvement in rating programs.
Organize governance committees and develop/maintain QI program descriptions, Clinical CDRL's and related policies/procedures.
Conduct routine evaluations of QI programs and services and manage DHA on-site visit audits.
Hire, supervise and manage staff engaged in the QI program.
Program management for DHA Clinical performance, HEDIS performance, CAHPS performance and quality projects.
Contribute to quality improvement services for clients purchasing such services as organization grows.
Collaborate with physicians and health care organizations and support governance and project management efforts.
Requirements
Bachelor’s Degree in Public Health, Healthcare Administration, Business Administration or other relevant healthcare program.
5 years of Demonstrated experience in quality improvement program planning, development and evaluation.
5 years of Demonstrated experience in discernment of rules/regulations and advocacy related to quality programs.
5 years of Experience in quality management principles, tools and techniques, such as: Six Sigma, root cause analysis, PDSA, LEAN.
4 years of Demonstrated leadership experience.
3 years of Demonstrated experience working collaboratively with physicians and health care organizations.
Demonstrated successful project management and governance.
Preferred: Master's degree in Public Health, Healthcare Administration, Business Administration or other relevant healthcare program or 4 years equivalent healthcare quality experience.
Preferred: Formal education or training in quality improvement, change management, and/or leadership.
Preferred: Certified Professional in Healthcare Quality (CPHQ) upon hire.