PacificSource

PacificSource

CCO Quality Metrics Program Manager

Portland, OR

Sponsorship not specified$72k-$127kDetected 7 days ago
ComplianceProject ManagementForecastingExcelProcess ImprovementHIPAALeadershipCommunicationCollaborationProblem SolvingPublic SpeakingAdaptabilityOrganizational SkillsMicrosoft OfficeSharePoint

About the role

  • Looking for a way to make an impact and help people?
  • Join PacificSource and help our members access quality, affordable care!
  • PacificSource is an equal opportunity employer.

Responsibilities

  • Lead, develop, and implement CCO QIM multi-year work plans to support continuous quality improvement and achieve strategic goals.
  • Collaborate with and work cross functionally to influence, lead, and promote change that drive continuous quality performance improvement.
  • Identify and implement strategic and tactical internal and community initiatives aimed at maximizing member outcomes and QIM results across all PacificSource CCO regions.
  • Serve as a core resource and point of contact for internal and external partners, including the OHA, applying in depth understanding of specifications, data sources and other key aspects of the CCO QIM program across all regions.
  • Perform other duties as assigned.
  • Building Customer Loyalty
  • Building Strategic Work Relationships
  • Lead the development, implementation, and management oversight of the company's Coordinated Care Organization (CCO) Quality Incentive Measures (QIM) program.

Requirements

  • Ability to read and comprehend both written and spoken English.
  • It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position.
  • Travel is required approximately 5% of the time.
  • Work Experience: Minimum of 5 years of experience in managed care with emphasis on quality improvement programs.

Nice to have

  • Minimum of 5 years of experience in managed care with emphasis on quality improvement programs.
  • Experience with Oregon Medicaid, program development, project management, and quality improvement strongly preferred.
  • Proven track record of managing multiple high-risk, high-visibility, initiatives from definition through implementation
  • Bachelor's Degree required in a related field required.
  • Candidates with an associate's degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of work experience will also be considered.
  • Graduate degree preferred.
  • Knowledge: Knowledge of Medicaid programs, CCO structure, incentive metrics programs, national measure specifications and quality improvement strategies strongly preferred.

Skills

  • Compensation Disclaimer
  • Base Range:
  • $72,443.87 - $126,776.77
  • The wage range provided reflects the full range for this position.
  • Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity.

Compensation

  • The wage range provided reflects the full range for this position.
  • The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage.
  • Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity.
  • Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.
  • Conduct annual program evaluation, identify areas of opportunities, present findings, and recommendations to key stakeholders and leadership.

Benefits

  • Expertise in project management, thorough understanding of health care operations, process improvement, business analysis and program planning and evaluation.

Company info

  • We are committed to doing the right thing.
  • We are one team working toward a common goal.
  • We are each responsible for customer service.

Equal opportunity

  • equal opportunity employer.
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This listing is sourced directly from PacificSource's careers page and normalized into a canonical job model.