Clinical Quality Prog Admin (US)

About the role

The Clinical Quality Program Administrator will oversee quality improvement activities/projects as outlined in the Quality Improvement (QI) work plan and ensure compliance with applicable law, regulations, and accreditation standards.

Responsibilities

• Ensures integration of quality into the overall business process.
• Performs assessments to identify gaps in the enterprise's quality and technology assessment processes and initiates actions to correct these gaps.
• Affirms accuracy and completeness of input provided to internal and external QI committees and timely implementation of appropriate interventions.
• Oversees clinical quality improvement activities/projects to implement appropriate clinical interventions to improve the quality of care for members.
• Affirms compliance with corporate QI work plans.
• Affirms QI activities' relevance to the targeted population.
• Affirms compliance to Practice Guideline, Delegation, and Continuity and Coordination of Care Standards.
• Maintains documentation of research programs to meet regulatory and Accreditation Standards.
• Provides oversight to ensure accurate and complete quantitative analysis of clinical data and presentation of results.
• May provide oversight to the Healthcare Effectiveness Data and Information Set (HEDIS) project team.

Requirements

• Requires a BS in health administration, nursing, or related clinical field; 3 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences

• Demonstrated ability to review, analyze, and interpret data to identify trends, issues, and actionable insights.
• Experience assisting with drafting, formatting, and proofreading data reports, dashboards, summaries, or slide decks.
• Comfortable providing day-to-day administrative support, including preparing meeting agendas, coordinating logistics, taking accurate meeting minutes/notes, and tracking follow-ups and action items.
• Experience supporting committees or working groups by managing schedules, maintaining documentation, organizing materials, and ensuring timely communication and follow-through across stakeholders.

Benefits

Includes a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Pay

Details on pay are not specified in the job posting.

Schedule

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.