Quality Program Strategist II
Core
Identify market trends and oversee quality improvement programs for HEDIS, CAHPS, and HOS strategy to drive business value and sustainable quality performance goals.
Role type
Senior IC quality program strategist (healthcare)
Builds
Quality improvement tools, policies, and training resources for health plans
Domain
Healthcare + Quality Measurement
Required skills
HEDIS, CAHPS, HOS, data analysis, stakeholder collaboration, policy/procedure development, training facilitation, compliance monitoring
Preferred skills
Five Why's, Fishbone analysis, pilot program assessment
Technologies
HEDIS, CAHPS, HOS, HPMS
Responsibilities
Conduct evaluations to assist with HEDIS gap closure, CAHPS and/or HOS performance; Leverage data analysis to derive actionable insights and strategic recommendations; Develop HEDIS, CAHPS, and/or HOS support resources and tools; Monitor and ensure compliance related to state reporting, HHS and HPMS memos; Establish quality check policy/procedures for all member and provider communications; Create, maintain and facilitate training for Quality Improvement Health Plan staff
Seniority
Senior, hands-on IC