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Elevance Health
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Clinical Quality Program Manager
$123k-164k (estimate)
Full Time 6 Days Ago
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Elevance Health is Hiring a Clinical Quality Program Manager Near Tampa, FL

Location: Must live within 50 miles of an Elevance Health Pulse Point office.Responsible for serving as a liaison with and overseeing the quality improvement activities/projects/programs for one or more states within a major line of business.How You Will Make An Impact
  • Leads state level quality strategy meetings, develops a quality plan, and ensures integration of quality into the overall business process.
  • Works with the clinical intervention team to design studies to identify barriers to medical interventions.
  • Ensures that study methodology is sound and appropriate reporting is in place.
  • Develops performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of care for members.
  • Assures compliance with corporate QI work plans. Assures that all QI activities are relevant to the needs of targeted population.
  • Maintains effective documentation of research programs to meet regulatory and Accreditation Standards.
  • Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results.
  • Participates in and provides input to the development of new product designs for major line of business.
  • Oversees the implementation of new initiatives. Leads interactions with regulators or oversight entities.
  • Oversees quality improvement activities for the largest, most complex state programs.
Minimum Requirements
  • Requires a BS in health administration, nursing, or a related clinical field; 4 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications
  • Current unrestricted license, certification in applicable field (i.e. CPHQ) and/or a MS in the health field (i.e. Nursing) is preferred.
  • Behavioral health experience, specifically in serious mental illness strongly preferred.
  • HEDIS measure experience strongly preferred.
  • Project management experience preferred.

Job Summary

JOB TYPE

Full Time

SALARY

$123k-164k (estimate)

POST DATE

06/20/2024

EXPIRATION DATE

06/22/2024

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