Jobs · Management

Quality Program Development Manager

Home State Health · Illinois, United States · 1 mo ago
RemoteRemoteManagement$70k–$126k/yrFull-time
We need to output only HTML fragment, no html/body tags, no markdown fences. Use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to include sections only when posting has real specific content. We have job description: Position Purpose (functions...). That's like About the role? Could be "About the role". Then responsibilities: many bullet-like sentences. We'll need to extract list items. We have Education/Experience Required: includes required and preferred. That could be Requirements and Qualifications sections. Possibly separate: Requirements (education/experience required) and Qualifications (preferred). Also Skills: maybe licenses/certifications. Pay: we have Pay Range: $70,100.00 - $126,200.00 per year. So include Pay section. Benefits: description includes benefits package: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, flexible approach to work with remote, hybrid, field or office work schedules. So Benefits section. Schedule: not explicitly given, but benefits mention flexible approach to work with remote, hybrid, field or office work schedules. That could be schedule info. However schedule section should be included only if posting actually states them. It does mention flexible approach to work with remote, hybrid, field or office work schedules. That's schedule info. So we can include Schedule section. We must not repeat job title as heading. No Job ID etc. We must remove boilerplate: EEO etc. Remove the equal opportunity employer paragraph and the LA County Ordinance etc. Also remove "At Centene, we connect people..."? That's marketing but maybe considered boilerplate? It's not EEO but it's a generic statement about mission. Might be considered boilerplate? The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The "At Centene, we connect people..." is not EEO but it's a generic marketing blurb; not sure if considered boilerplate. It's not legal/EEO. It's more like company description. Might be okay to keep? But they said prefer few substantive sections over many thin ones. Could include that as part of About the role? Might be considered filler. Safer to omit that paragraph as it's not specific to role. Also the final paragraph about benefits may be considered part of Benefits section; we already have benefits. We need to preserve ALL substantive information; do not invent or summarize away detail. So we need to keep all details from the description. Let's parse the posting: Position Purpose Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners or cross-functional work groups in the development and implementation of efficient and effective standards, policy and procedures, work flows, and decision support systems to support ongoing improvements of clinical and administrative operations. Oversees the creation and implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration.Designs and facilitates the development of various programs/systems, work flows, and integration efforts in alignment with Corporate, market, contractual, regulatory and quality requirements.Acts as the content and technical subject matter expert to the operation managers and directors for key project initiatives including the development of detailed work plans, facilitating route cause analysis, identifying and socializing process enhancements, setting deadlines, assigning responsibilities, and monitoring/summarizing project progress.Leads state required Performance Improvement Projects (PIP) including topic selection, root cause analysis, implementation, and final submission.Conducts needs assessments and identification to ensure the program teams and other external stakeholders receive information in a timely manner.Partners with leaders and members of the Quality Analytics and Improvement Teams and determines data needs as well as assists in designing tools and reports as necessaryPartners with clinical and operations staff with consulting and analysis services to support initiatives intended to achieve breakthrough or incremental process improvement in patient quality of careConducts other responsibilities as needed.Performs other duties as assigned.Complies with all policies and standards. That's a big paragraph; we can break into bullet list for responsibilities. Education/Experience Required A Bachelor's Degree in a related field Required or equivalent work experience Business, HC Management, or Nursing: Preferred A Master's Degree in a related field Business or HC Management (MBA, MHA, MPH, MSN): Candidate Experience: Required 5+ years of experience in direct program development, program management, and/or project management, preferably in a healthcare environment Required 3+ years of experience in managed care, plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP, dual eligibles, PCMH Required 2+ years of experience in design, develop and implement STARS, CAHPS, HEDIS and other enterprise quality related programs across a variety of settings including: defining the eligible population, service mix, delivery system configuration and financing; integration of behavioral, clinical, social, and community health care for members with multiple chronic conditions; working with multiple market leaders to coordinate consistent quality initiatives; conducting assessments, contractual reviews, and business plans for new quality improvement, including internally sourced or vendor sourced quality programs, and/or the integration of innovative approaches to defined programs to improve quality ratings company wide. Licenses and Certifications : A license in one of the following is preferred Six Sigma Certification Lean Certification Certified Professional in Healthcare Quality (CPHQ) Pay Range: $70,100.00 - $126,200.00 per year Benefits paragraph: At Centene, we connect people... (maybe skip) then "Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility." Then EEO etc to remove. Thus sections: - About the role: maybe we can use the Position Purpose paragraph as prose (

). Could be considered About the role. - Responsibilities: list of duties from the Position Purpose (the many actions). We'll extract each sentence as

  • . - Requirements: education/experience required (Bachelor's degree required or equivalent; 5+ years experience etc; 3+ years managed care etc; 2+ years experience in design etc). Could be separate: Requirements (required) and Qualifications (preferred: Master's degree preferred; Business, HC Management, or Nursing preferred). Also Skills: licenses/certifications preferred. - Benefits: list. - Pay: single line maybe as

    . - Schedule: flexible approach to work with remote, hybrid, field or office work schedules. We must not create sections with filler like "commensurate with experience". We have actual content. Let's craft HTML:

    About the role

    Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners or cross-functional work groups in the development and implementation of efficient and effective standards, policy and procedures, work flows, and decision support systems to support ongoing improvements of clinical and administrative operations. Oversees the creation and implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration. Designs and facilitates the development of various programs/systems, work flows, and integration efforts in alignment with Corporate, market, contractual, regulatory and quality requirements. Acts as the content and technical subject matter expert to the operation managers and directors for key project initiatives including the development of detailed work plans, facilitating route cause analysis, identifying and socializing process enhancements, setting deadlines, assigning responsibilities, and monitoring/summarizing project progress. Leads state required Performance Improvement Projects (PIP) including topic selection, root cause analysis, implementation, and final submission. Conducts needs assessments and identification to ensure the program teams and other external stakeholders receive information in a timely manner. Partners with leaders and members of the Quality Analytics and Improvement Teams and determines data needs as well as assists in designing tools and reports as necessary. Partners with clinical and operations staff with consulting and analysis services to support initiatives intended to achieve breakthrough or incremental process improvement in patient quality of care. Conducts other responsibilities as needed. Performs other duties as assigned. Complies with all policies and standards.

    That's basically the same as original but okay. Now Responsibilities: we could list each action as
  • . But we already used the paragraph for About the role; maybe we should split: About the role short summary, Responsibilities list. However we risk duplication. The instruction: Prefer a few substantive sections over many thin ones. Could combine About the role and Responsibilities into one section? But they want headings for specific sections if content exists. We could have About the role (short) and Responsibilities (list). That's two sections. Let's craft About the role as a brief summary: maybe first sentence: "Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners or cross-functional work groups in the development and implementation of efficient and effective standards, policy and procedures, work flows, and decision support systems to support ongoing improvements of clinical and administrative operations." That's enough. Then Responsibilities list the rest. Let's extract responsibilities sentences after that first sentence. Original after first sentence: "Oversees the creation and implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration.Designs and facilitates the development of various programs/systems, work flows, and integration efforts in alignment with Corporate, market, contractual, regulatory and quality requirements.Acts as the content and technical subject matter expert to the operation managers and directors for key project initiatives including the development of detailed work plans, facilitating route cause analysis, identifying and socializing process enhancements, setting deadlines, assigning responsibilities, and monitoring/summarizing project progress.Leads state required Performance Improvement Projects (PIP) including topic selection, root cause analysis, implementation, and final submission.Conducts needs assessments and identification to ensure the program teams and other external stakeholders receive information in a timely manner.Partners with leaders and members of the Quality Analytics and Improvement Teams and determines data needs as well as assists in designing tools and reports as necessaryPartners with clinical and operations staff with consulting and analysis services to support initiatives intended to achieve breakthrough or incremental process improvement in patient quality of careConducts other responsibilities as needed.Performs other duties as assigned.Complies with all policies and standards." We need to split into sensible items. We'll create
    • for each. Now Requirements: required education/experience. We have: "A Bachelor's Degree in a related field Required or equivalent work experience Business, HC Management, or Nursing: Preferred". Actually that line is confusing: It says Bachelor's Degree required or equivalent work experience Business, HC Management, or Nursing: Preferred. Probably means Bachelor's degree in Business, HC Management, or Nursing required or equivalent work experience; preferred? Let's parse: "Education/Experience Required A Bachelor's Degree in a related field Required or equivalent work experience Business, HC Management, or Nursing: Preferred". I think they mean: Bachelor's degree in a related field required OR equivalent work experience; preferred fields: Business, HC Management, or Nursing. We'll capture as required: Bachelor's degree in a related field OR equivalent work experience. Preferred: Business, HC Management, or Nursing. Then Master's degree preferred: "A Master's Degree in a related field Business or HC Management (MBA, MHA, MPH, MSN):". So preferred Master's. Experience required: 5+ years direct program development, program management, and/or project management, preferably healthcare. 3+ years managed care plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP, dual eligibles, PCMH. 2+ years experience in design, develop and implement STARS, CAHPS, HEDIS and other enterprise quality related programs across variety of settings including: defining eligible population, service mix, delivery system configuration and financing; integration of behavioral, clinical, social, community health care for members with multiple chronic conditions; working with multiple market leaders to coordinate consistent quality initiatives; conducting assessments, contractual reviews, business
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