BCBSAZ
Manager, Performance/Quality Improvements - HYBRID
AZ Blue Phoenix, AZ 85021 · Full-time
Sponsorship not specifiedDetected 16 days ago
Data AnalysisExcelCustomer SupportResearchLeadershipCommunicationCollaborationProblem SolvingMicrosoft Office
About the role
- Our positions are classified as hybrid, onsite or remote.
- This position is hybrid within the state of AZ only.
- This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.
Responsibilities
- Drive performance improvement for NCQA HEDIS and other quality metrics
- Develop and implement system-wide performance improvement projects
- Develop and monitor Corrective Action Plans and evaluate effectiveness
- Collaborate with internal departments (Quality Management, Performance Improvement, Quality Analytics) to ensure data integrity
- Perform other duties as assigned
- Develop intervention strategies to improve outcomes and ensure compliance with contractual requirements
- This position supports performance measure monitoring and improvement functions for the Medicaid Segment's managed care organization.
Requirements
- Attend meetings with AHCCCS, provider agencies, and other stakeholders as needed (travel required)
- 5 years of experience in the health care payer or provider space
- Education:
- Bachelor's Degree
- Licenses:
- None required
- Certifications:
- 10 years of healthcare experience, preferably within the Arizona Medicaid system
- Master's degree in business, healthcare administration, or related field
- Certified Professional in Healthcare Quality (CPHQ) or CHCQM preferred
Nice to have
- Work Experience:
- Experience leading system-wide interdisciplinary improvement projects
- Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
Skills
- Subject matter expertise in NCQA HEDIS and CMS Core performance measure methodologies
- Experience working with Medicaid managed care organizations
- Strong experience in data analysis, reporting, and presentation (written and verbal)
- Excellent analytical and problem-solving skills
- Ability to build trust with diverse stakeholders
- Strong interpersonal, collaboration, and communication skills
- Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, MS Project)
- Ability to maintain confidentiality and protect sensitive information
- Strategic and consultative program management approach
- Strong analytical skills with ability to identify root causes and solutions quickly
- Ability to work independently and make confident decisions
- Flexibility to adapt to changing priorities
Benefits
- Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.
Company info
- At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work.
This listing is sourced directly from BCBSAZ's careers page and normalized into a canonical job model.