Preferred IPA of California, a physician organization serving managed care members in LA County, is seeking a Project Manager of Quality Improvement (“Manager”) .

Project manager will partner with physician offices, Health Plan, QI Managers/staff and other departments within Preferred IPA to meet performance expectations established by the State and CMS entities for HEDIS/Stars, Risk Adjustment and other quality improvement areas.

The Manager will develop/revise the QI work plan and ensure elements in the work plan are followed through to meet sensitive timelines. Assist QI manager to develop tools/mechanisms to measure and trend performance on a weekly, monthly, quarterly, semi-annually and/or annual basis.

The Manager will be working in conjunctions with the provider representative, QI staff and other staff internally and externally to engage providers/members to complete quality improvement projects in a timely manner and meet set outcome goals stipulated in the QI work plan and/or health performance benchmark/goals. The Manager will interface with various internal and external entities or other health care stakeholders (health plans, providers, ancillary vendors, etc.) to ensure key quality improvement initiatives are aligned with the core organization goals.

Experience:

· · Strong interpersonal and organization skills

· 3-5 years of managerial experience and managing projects in Heath Care

· Experience with health care quality in HEDIS/Stars, HCC and encounter data

· Bachelor’s degree

· Familiarity and experience with Coseva and EMR (Office Ally, NexGen, eClinicalWorks, etc.)

· Experience using Adobe Acrobat, Word, Excel, Access, Visio and PowerPoint. Strong knowledge in creating graphs and data analysis in Excel.

Job Responsibilities:

Assist Quality Improvement Managers:

· with supervision of Quality Improvement staff as needed by

· Available to take on special projects as needed.

· Assist with obtaining EMR access for Coders.

· Assist managers, so manager can emphasize more on trainings with physicians and specialist prepare a coding tool .

· To assist monitoring HEDIS performance with Senior members

· Attend and follow-up with health plan JOM action items, coordinate action Items with QI and PR teams to ensure joint projects are completed timely.

· Monitor and report physician office challenges and changes needed to implement Cozeva.

· Interface and partner with various Health Plan staff for Quality Compliance initiatives and develop work plan and timeline(s) to complete requirements.

· Conduct training and communicate Quality Compliance requirements to provider offices in person or group presentations via WebEx.

· Preparing internal performance reports for managers.

· Provider Intervention/Engagement with provider offices and track office progress and share reports with staff in meetings on Quality Compliance.

· Assist quality managers to develop tools to measure quality improvement performance and to establish goals for provider offices and QI team members.

· Local travel up to 50% dependent upon business and client needs.

· Have valid driver license and proof of insurance.

· Other projects or responsibilities as assigned.

The successful candidate will:

· Demonstrate excellent verbal and written communication skills in English.

· Be comfortable interacting with internal and external entities.

· Good track record of managing Quality Improvement projects.

· Act as an individual contributor and team lead for all assigned projects.

· Maintain good working relationship with provider offices/physicians/health plans and internal staff.

· Have a solid understanding of the project scope and any tasks/items impacting deadlines.

· Adhere to company policies and procedures.

Job Type: Full-time

Pay: $65,000.00 - $85,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• 5 year of experience in Health Care organization

Ability to Commute:

• Glendale, CA 91202 (Required)

Ability to Relocate:

• Glendale, CA 91202: Relocate before starting work (Preferred)

Work Location: Hybrid remote in Glendale, CA 91202