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CareFirst BlueCross BlueShield · 2 hours ago

Quality Manager (Hybrid)

Baltimore, MD

Full-time

Hybrid

Mid, Senior Level

$108K/yr - $200K/yr

5+ years exp

CareFirst BlueCross BlueShield is a healthcare organization focused on improving the quality of care and experience for populations. The Quality Manager will lead a team responsible for defining, measuring, and evaluating population health while driving innovative initiatives for quality improvement.

Health CareNon ProfitService Industry

No H1B

Responsibilities

Manages, develops, and leads a team in a matrixed organization environment

Monitors, measures, and ensures compliance with accreditation requirements, quality performance methodologies, and applicable state, local, and federal regulations

Formulates and implements the enterprise strategy for population health, quality, and member experience improvement

Drives the progress and completion of innovative initiatives and evaluates their effectiveness

Qualification

Data analyticsHealthcare dataQuality improvementSQLPythonRMicrosoft OfficeCustomer serviceLeadershipMentoring

Required

Bachelor's Degree in population health, public health, healthcare administration, business administration, health policy, economics, statistics, mathematics, data science, or a related field; OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience

5 years experience in a healthcare, public health, health insurance, quality/process improvement or data management business environment; inclusive of 3 years data analytics experience working with large data sets to answer clinical, operational, or business questions; prior experience with healthcare data

1 year supervisory experience or demonstrated progressive leadership experience

Ability to perform qualitative and quantitative data analyses and create innovative strategies and work with colleagues to address findings

Ability to learn the technical aspects of collection and reporting of both administrative and clinical aspects of quality measures

Ability to conduct advanced analytics using SQL, Python, R, or similar; fluent in Excel. Expertise with healthcare claims, survey, clinical, and health data

Strong computer skills to include Microsoft Office - Excel, Word, Power Point, Outlook

Ability to mentor and coach associates to accomplish goals, provide objective evaluation of associate performance, and implement strategies to improve individual and team-based performance as needed

Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging

Must be eligible to work in the U.S. without Sponsorship