Critical Escalation Program Manager leading technical and business collaborations for HPE's networking division. Ensuring customer satisfaction and business continuity across critical accounts with cross - functional teams.
BM
Onsite Program Manager, Clinical Quality
Posted 12 hours ago
About the role
- HEDIS Program Manager responsible for quality improvement activities at BCBSMA. Collaborating with various teams and analyzing healthcare metrics to enhance performance measures.
Responsibilities
- 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
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