Program Manager - Quality Improvement

2 days ago

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iMPROve Health

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iMPROve Health is a recognized leader in healthcare quality improvement, specializing in independent medical review, utilization review, and various healthcare programs. With over 40 years of experience, the organization focuses on delivering high-quality, cost-effective healthcare solutions while utilizing innovative strategies in data analysis and outreach. iMPROve Health is committed to catalyzing systemic change across the healthcare landscape, demonstrating a strong presence not just nationally, but also within community initiatives.

Health care quality improvement • heath care data analysis • medical review • care transitions • patient safety

51 - 200 employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

📋 Description

• Lead the development, design, implementation, dissemination, and evaluation of quality improvement interventions. • Manage daily operations of assigned project/contract area and staff. • Collaborate with team to develop and revise data set questions. • Work closely with analysts to ensure the integrity of the database software. • Continuously assess, refine and update quality measure specifications and resources. • Recruit, orient, and train staff. • Mentor, guide and provide day-to-day supervision of direct reports. • Implement, track and monitor all reconsideration requests. • Suggest modifications to dataset questions or scoring based on recurring issues. • Adhere to onboarding requirements including fingerprinting and background check. • Actively participate in a collaborative team model to identify and implement improvement strategies. • Serve as a task resource and provide mentoring to others. • Comprehend and monitor all contract aspects related to assigned task(s). • Assume the lead on contracts and programs as assigned by the director. • Apply quality principles knowledge and employed strategies. • Engage with key stakeholders and serve as a point of contact. • Identify and develop training methodologies utilizing a variety of approaches. • Develop, complete, oversee and ensure timeliness and quality of task deliverables. • Disseminate project information to stakeholders and partners. • Develop and follow job aids and standard operating procedures. • Proactively identify challenges and deploy mitigation strategies. • Demonstrate personal accountability and work ethic. • Attend and/or presents at local, state or national conferences/meetings. • Develop external relationships and maintain customer satisfaction. • Adhere to all relevant compliance regulations (HIPAA, FISMA, URAC, CMS).

🎯 Requirements

• Bachelor’s degree in healthcare related field required. • Master’s degree preferred. • Minimum of 3 years of clinical or related health care measure data abstraction experience. • Team leadership and/or management experience required. • Excellent communication skills including public speaking. • Minimum of 2 years of quality improvement experience required in a quality improvement organization or similar contract experience. • Excellent organizational, project management and customer service skills required. • Ability to multi task working on more than one contract/project simultaneously. • Ability to read and interpret federal/state contracts and regulations. • Experience with electronic documentation. • Travel Required. • Proficient in Microsoft Word and Excel • Working knowledge of PowerPoint, Microsoft Access and Visio • Health information technology experience/knowledge preferred

🏖️ Benefits

• medical • dental • vision • life insurance • short term and long-term disability • generous 401k match