PA Health & Wellness · 1 day ago
Quality Program Strategist
PA Health & Wellness is part of Centene, a national organization transforming the health of communities. The Quality Program Strategist will plan, organize, and monitor quality-related projects to meet strategic objectives, support quality initiatives, and improve health program design and metrics.
FitnessHealth CareWellness
Responsibilities
Support enterprise-wide quality initiatives by analyzing and researching potential issues within quality metrics and goals of health plan programs, including the determination of the appropriate target population, health program design, marketing of the program, and data systems; recommend quality improvements to achieve goals, including updates to programs and processes
Create quality risk assessments and develop processes for health plans to achieve quality metrics
Utilize Lean 6 Sigma methodologies to identify potential problems and resolutions with enterprise-wide priority metrics
Collaborate through ad hoc initiative requests and scorecard review and to support initiative development and implementation
Create, maintain and facilitate quality improvement health plan training
Maintaining detailed project documentation (meeting minutes, action items, risk logs, etc.)
Communicating project status and updates to stakeholders
Coordinating cross-functional meetings and collaborating with internal and external partners to achieve project goals
Identifying resources, resolving issues, and mitigating risks
Conducting data analysis and deep-dive reviews to inform QI initiatives
Preparing State deliverables with clear, professional written analysis in alignment with QI program and compliance requirements
Qualification
Required
Associate's degree in Nursing, Public Health, or related clinical field, or equivalent experience
2+ years clinical experience or managed care health insurance experience required
1+ year quality experience preferred
Preferred
Registered Nurse, Licensed Practical Nurse, Licensed Vocational Nurse or Licensed Clinical Social Worker preferred
CPHQ preferred
Benefits
Competitive pay
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Company
PA Health & Wellness
Established to deliver quality healthcare in the state of Pennsylvania through local, regional and community-based resources, PA Health & Wellness is a Managed Care Organization and subsidiary of Centene Corporation (Centene).
Funding
Current Stage
Late StageRecent News
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