Coordinate, track, and support multiple quality improvement projects across lines of business including Provider education, member engagement, measure specific initiatives, and the annual Healthcare Effectiveness Data and Information Set (HEDIS) audit. This position will provide key support for HEDIS Program operational and submission tasks, and HEDIS Program quality improvement initiatives.
Work Experience:Project coordination or project management experience in a complex environment required. Two years of experience in the health insurance or medical industry, knowledge of CMS STARS, HEDIS, and/or NCQA preferred.
Education, Certificates, Licenses:Bachelor’s Degree or equivalent well-rounded education and experience.
Knowledge:Proficient in Microsoft Office Suite including at least basic knowledge of Visio and MS Project. Ability to identify techniques and develop standardized work methods to improve program efficiency. Ability to work across business and system groups at all levels.
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Physical Requirements: Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. 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. Employment remains AT-WILL at all times.
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.