Quality Improvement Project Manager II
Job Summary
The Quality Improvement Project Manager II is responsible for managing day-to-day operations of a portfolio of projects within L.A. Care's Quality Improvement Department. This includes overseeing the implementation of new product lines, data collection and analysis, NCQA Accreditation readiness and oversight, vendor contract management, and nurse advice line management. The role requires excellent project management, analytic, reporting, and communication skills.
Duties
Design and management of a portfolio of assigned projects within budget to ensure timely delivery, accuracy, and compliance with regulatory requirements and NCQA Standards.
Present quarterly quantitative and qualitative performance analysis and reports to Quality Oversight Committees.
Monitor the performance of current service interventions and coordinate new interventions.
Process analysis, process evaluation, and assist in implementing process improvements to ensure Business Process Improvement meets requirements and expected business benefits.
Document existing business processes and industry best practices.
Lead vendor selection processes, implement and manage vendor contracts.
Perform other duties as assigned.
Qualifications
Education: Not specified
Experience: At least 3 years of experience in a managed health care environment, experience with health care program design, implementation, and evaluation.
Skills: Knowledge of regulatory requirements for Medicaid, Medicare, and NCQA standards, strong data management and analytic skills, proficiency in analytical tools, ability to lead project teams, excellent written and oral communication skills, strong interpersonal communication skills, persuasion skills.
Licenses/Certifications: Not specified
Training: Not specified
Physical Requirements: Not specified
Benefits
Paid Time Off (PTO)
Tuition Reimbursement
Retail Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)