Jobs · Management

Quality Program Development Manager

Home State Health · Missouri, United States · 1 mo ago
RemoteRemoteManagement$70k–$126k/yrFull-time
We need to output HTML fragment with sections: About the role (maybe from Position Purpose), Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Use

for each heading. Use
  • for any list of duties/requirements/benefits. Use

    for prose. Do not repeat job title. Do not include Job ID etc. Remove boilerplate (EEO, etc). Keep all substantive info. We need to parse the posting. Position Purpose paragraph: "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 the responsibilities. Could be split into About the role (purpose) and Responsibilities (list). We'll create About the role paragraph summarizing purpose (maybe first sentence). Then Responsibilities list bullet points. Education/Experience Required: includes bullet-like lines. We need sections: Education/Experience maybe under Requirements or Qualifications. The instruction: Use headings for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to include only those with real content. We have content for About the role (purpose). Responsibilities (list). Requirements (education/experience). Qualifications (maybe licenses/certifications). Skills (maybe not explicit). Benefits (benefits package). Pay (pay range). Schedule (maybe mention flexible approach to work with remote, hybrid, field or office work schedules). That is schedule info. We need to avoid filler like "commensurate with experience". Not present. We must not invent or summarize away detail; preserve all substantive info. So we need to include all details from the posting. Let's extract details: About the role: 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." But we could also include more purpose sentences. However we need to avoid duplication with responsibilities. We'll put a concise paragraph summarizing purpose. Responsibilities: list each duty: - 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 root 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. We could combine some but keep all. Requirements: 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. We need to preserve all details. Might be long but okay. Qualifications: Licenses and Certifications: A license in one of the following is preferred: Six Sigma Certification, Lean Certification, Certified Professional in Healthcare Quality (CPHQ). Skills: Not explicitly listed; maybe we can infer from responsibilities but we should not invent. If no explicit skills, we should not create a Skills section (since we must only include sections with real specific content). So omit Skills. Benefits: "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." Also earlier: "At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday." That's more about culture; could be part of About the role or maybe separate but we have About the role already. Could incorporate into About the role paragraph. Pay: "Pay Range: $70,100.00 - $126,200.00 per year". Also note: "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." That's substantive; include in Pay section. Schedule: The flexible approach to work with remote, hybrid, field or office work schedules is part of benefits but also schedule. We'll create Schedule section: "Flexible work arrangements including remote, hybrid, field, or office schedules." We must not repeat content unnecessarily but preserve all. Might duplicate flexible schedule in both Benefits and Schedule; but we can keep in Benefits and also mention in Schedule? Might be duplication but okay as long as we preserve. However we could put flexible schedule only in Schedule and mention benefits elsewhere without that phrase. But benefits sentence includes that phrase; we could split: Benefits list: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays. Then Schedule: flexible approach to work with remote, hybrid, field or office work schedules. That avoids duplication. Now we need to output HTML fragment with headings

    and lists
    • for any list of duties/requirements/benefits. Use

      for prose. Thus:

      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. At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

      Responsibilities

      • 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 root 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.

      Requirements

      • 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) preferred.
      • 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.

      Qualifications

      • Six Sigma Certification preferred.
      • Lean Certification preferred.
      • Certified Professional in Healthcare Quality (CPHQ) preferred.

      Benefits

      • Competitive pay.
      • Health insurance.
      • 401K and stock purchase plans.

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