Job Information

Providence Quality Program Manager - Population Health (Remote: SW WA / OR) in Beaverton, Oregon


Providence is calling a Quality Program Manager: Population Health who will:

  • Manage multiple complex quality improvement projects and initiatives within a highly matrixed environment including internal and external stakeholders

  • Partner collaboratively with quality ratings program owners to identify opportunities for improvement and implement creative solutions

  • Conduct cross-functional quality and population health governance activities to support compliance with accreditation. This individual plays a vital role in PHP’s Population Health and Quality Improvement strategy and initiatives related to NCQA

  • Identify racial/ethnic disparities within HEDIS measures and work to develop programs that will decrease gaps in care and achieve greater health equity

  • Develop and maintain a library of provider-facing educational materials, in support of PHP’s population health improvement strategies

  • Be accountable forconducting effectiveness evaluations on quality program strategies, using data to identify opportunities for continuedenhancements that impact the Commercial, Marketplace, Medicare, and Medicaid populations

To be successful in this role, this individual must have deep experience with HEDIS or a similar quality measurement framework. This role will require routine use and application of HEDIS technical specifications, comparing performance against goals, and creating corrective action plans when measures are underperforming to support the health and well-being of our members.

We welcome 100% remote work for residents of Southwest Washington and Oregon.

Primary Responsibilities:

  • The Health Care Services division is highly matrixed with multiple functional areas that are broad in scope and require adepth and breadth of skills, knowledge, and experience. Therefore, the principle duties and functions of an individual QMProject Manager will vary depending on business needs and program scope

  • Leads the development and implementation of QM strategies in alignment with NCQA, Medicare Stars, CCO, and populationhealth initiatives

  • Facilitates cross functional governance committee focused on QM program objectives

  • Monitor key performance indicators and design, create, and implement resulting improvement projects and initiatives

  • Develop and implement strategic action plans based on QM program objectives

  • Oversee the organizations quality improvement initiatives as managed through the annual quality committee work plan

  • Use defined QI methodology to lead performance improvement projects in clinical quality, satisfaction, safety, orutilization

  • Conducts effectiveness evaluations on QM program strategies, using data to identify opportunities for continuedenhancements

  • Assures that policies and operating procedures are comprehensive, and implemented in compliance with accreditation andregulatory standards

Required qualifications for this position include:

  • Bachelor's Degree -OR- a combination of equivalent education / experience

  • Master's Degree in Public Health, Business Administration, HealthScience, Health Services Administration, orother healthcare or business related field -OR- a combination of equivalent education / experience

  • 3 years related experience working in, or with a managed care organization or working in a clinical setting within a managed care environment

  • 3 years experience in project management or program management

  • Demonstrated experience in program planning, development and evaluation

Preferred qualifications for this position include:

  • 2 years of experience with HEDIS or other quality measurement framework

  • Experience in quality management principles, tools, and techniques

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 123857
Company: Providence Jobs
Job Category: Clinical Quality
Job Function: Quality/Process Improvements
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Address: OR Beaverton 3601 SW Murray Blvd

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.