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Programs Manager Quality Improvement

Location: 6630 Orion Drive, Fort Myers, FL
Department: Administration - VBSO
Categories: Management
Type: Full-Time
Shift: 8:00 AM-4:30 PM
Schedule: Days

Description:

The Programs Manager-Quality Improvement, under the direction of the Director, Quality and CMO conducts oversight and management of plan quality initiatives, state and regulatory quality compliance, HEDIS and quality improvement initiatives, PiPs, CAHPS, delegation audits and external quality reviews. Applies medical knowledge and analytical skills to effectively and efficiently coordinate quality activities and improve performance metrics of organizational goals. The Programs Manager utilizes automated software tools and processes to help streamline activities and improve data/analytics for the quality team.

  • HEDIS reporting or collection experience
  • CAHPS Improvement experience
  • 1+ years in managed healthcare non-financial reporting
  • 1+ years healthcare information systems experience or in a role as an IS liaison/contact for QI projects
  • State (AHCA)
  • QI experience
  • Supervisory experience
  • Project management and team building experience
  • Experience developing performance measures that support business objectives
  • Experience using multiple programming languages including, but not limited to, SQL / SSRS
  • HEDIS reporting or collection experience
  • CAHPS Improvement experience
  • 1+ years in managed healthcare non-financial reporting
  • 1+ years healthcare information systems experience or in a role as an IS liaison/contact for QI projects
  • State (AHCA)
  • QI experience
  • Supervisory experience
  • Project management and team building experience
  • Experience developing performance measures that support business objectives
  • Experience using multiple programming languages including, but not limited to, SQL / SSRS

Requirements:

Educational Requirements
Required:
  • Bachelor's Degree in Computer Science, Math, Data Science, Informatics, Statistics or Biomedical Sciences or equivalent combination of education and work experience
Preferred:
  • Master's Degree or higher in a clinical field, IT, Public Health or Healthcare
Additional Requirements:Experience
Required:
  • Minimum 1 year experience in healthcare, or equivalent experience in a non-financial regulated industry required

Preferred:
  • HEDIS reporting or collection experience
  • CAHPS Improvement experience
  • 1+ years in managed healthcare non-financial reporting
  • 1+ years healthcare information systems experience or in a role as an IS liaison/contact for QI projects
  • State (AHCA)
  • QI experience
  • Supervisory experience
  • Project management and team building experience
  • Experience developing performance measures that support business objectives
  • Experience using multiple programming languages including, but not limited to, SQL / SSRS
Additional Requirements:
State of Florida Licensure Requirements
Required:
  • none required
Additional Requirements:
  • Clinician preferred for certain positions
Certifications/Registration Requirements
Required:
  • none required
Preferred:Additional Requirements: