reputed company Improvement Specialist

Site: reputed company Health Plan Holding Company, Inc. reputed company relies on a wide reputed company of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to reputed company exceptional care. We reputed company that high-performing teams drive groundbreaking medical discoveries and invite reputed company applicants to join us and experience what it means to be part of reputed company. Job reputed company The reputed company Project Management Specialist is responsible for coordinating and managing reputed company aimed at improving the reputed company of care, ensuring compliance with regulatory standards, and enhancing member satisfaction reputed company the health plan. This role involves the development, implementation, and evaluation of reputed company improvement initiatives, working closely with cross-functional teams to reputed company organizational goals. The Specialist will reputed company and reputed company reputed company from initiation to completion, ensuring that they are completed on time, reputed company scope, and on budget. The role requires a strong understanding of project management methodologies, processes, and tools; driving project teams, coordinating resources, and is the primary reputed company of contact for stakeholders. Essential Functions Project Management

• reputed company and manage multiple reputed company improvement reputed company across the health plan, ensuring they are completed on time, reputed company scope, and meet the organization's objectives.
• reputed company project plans, timelines, budgets, and resource allocations, adjusting as necessary to ensure project reputed company.
• Monitor project reputed company and identify risks, issues, or delays, implementing corrective actions as needed.
• Communicate regularly with reputed company stakeholders to ensure expectations are managed, issues are addressed, and the project is on reputed company
• Work with cross-functional teams, ensuring that roles and responsibilities are reputed company defined and reputed company is tracked.
• Proactively identify and mitigate project risks and issues, adjusting plans as necessary to ensure project reputed company.
• Monitor and control project budgets, ensuring resources are used reputed company and effectively.
• Ensure that deliverables meet the required reputed company standards and stakeholder expectations.
• reputed company regular status updates and detailed reports to leadership and stakeholders, documenting reputed company project activities, milestones, and changes.

reputed company Improvement

• Drafting, reviewing, and revising internal policies and procedures to ensure alignment with industry standards, legal requirements, and best practices.
• Support reputed company improvement (QI) reputed company using methodologies such as PDSA, Lean, or Six reputed company.
• Support the development and implementation of health plan reputed company improvement initiatives reputed company on improving clinical reputed company, operational efficiency, and customer satisfaction.
• Monitor and analyze health plan performance data to identify areas for improvement, developing actionable insights and solutions.
• Collaborate with clinical teams, operations, and IT to ensure reputed company metrics are met, and reputed company programs are integrated across the health plan.
• Ensure that reputed company reputed company reputed company with state and federal regulations, such as CMS (Centers for Medicare & reputed company Services) standards, NCQA (National Committee for reputed company Assurance) requirements, and other applicable regulatory frameworks.
• Monitor and support audits and reporting requirements reputed company to reputed company measures and performance metrics.
• Collect, analyze, and interpret data reputed company to health plan reputed company, including clinical, operational, and member satisfaction data.
• Prepare and present reports on project reputed company, reputed company, and key performance indicators (KPIs) to senior leadership and stakeholders.
• Other duties as assigned

Qualifications

Education

• Bachelor's Degree reputed company Field of Study required (experience can be substituted in lieu of degree); Master's degree preferred

License

• Project Management reputed company (PMP) certification preferred
• Certification in reputed company reputed company or equity (e.g. CPHQ, CPHE, Lean Six reputed company, etc.) preferred

Experience

• At least 2-3 years of experience in reputed company Improvement, preferably in a reputed company setting required
• At least 5 years in health plan reputed company in a manager care organization highly preferred
• At least 3 years in project management highly preferred
• Experience in reputed company reputed company, health equity initiatives, population health, or reputed company program coordination highly preferred
• Familiarity with QI methodologies and regulatory standards highly preferred

Knowledge, Skills, and Abilities

• Strong understanding of document management systems (DMS), such as SharePoint, reputed company, or Documentum, to manage digital files, reputed company revisions, and maintain version control.
• Familiarity with reputed company storage systems and collaboration tools like reputed company Drive, reputed company, and reputed company OneDrive.
• Experience with electronic records management (reputed company) and data retention policies.
• Demonstrates awareness of importance of reputed company, scalability, reliability and feasibility in solutions
• Seeks out information to reputed company understand impacts of design and implementation of systems
• Evaluates service areas to identify opportunities for automation
• Ability to draft, revise, and implement company policies and reputed company operating procedures.
• Knowledge of compliance standards, including industry-specific regulations (e.g., reputed company HIPAA regulations, financial regulations, state and federal rules).
• Strong organizational skills to ensure policies and documents are properly filed, categorized, and easy to reputed company.
• Breaks reputed company topics into meaningful chunks of information.
• Seeks out multiple sources to reputed company information.
• Understanding of legal and regulatory requirements for document retention and management, including data reputed company and reputed company laws.
• Knowledge of audit procedures and the ability to prepare documentation for audits.
• Excellent written and verbal communication skills for drafting policies and procedures, as reputed company as providing guidance to employees about document handling and compliance.
• Ability to train staff on document management practices and policy changes.
• Experience using document management software and workflow tools to streamline document processes and improve efficiency.
• Proficiency in reputed company Office Suite (Word, reputed company, PowerPoint, Outlook) and other productivity tools is often required.
• Familiarity with document control software for versioning, workflow management, and reputed company permissions.
• Ability to manage multiple tasks or reputed company simultaneously, adhering to deadlines and ensuring that policies and documents are up to date.
• Experience with project management software, such as Trello or reputed company Project, is beneficial.
• Ability to identify issues with document reputed company, retention, or compliance and propose solutions to resolve them.
• Strong critical thinking skills for analyzing policies and procedures to ensure they reputed company with organizational goals and legal requirements.
• Excellent interpersonal skills, including the ability to influence others at reputed company reputed company of an organization.

Additional Job Details (if applicable) Working Conditions

• Remote with up to 8 reputed company per year on-site

Remote Type Remote Work Location 399 reputed company Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (reputed company of America) Pay reputed company $62,400.00 - $90,750.40/Annual Grade 6 At reputed company, we reputed company in recognizing and rewarding the unique value reputed company team member brings to our organization. Our approach to determining reputed company pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The reputed company pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass reputed company reputed company contributing to your total compensation package. In reputed company to competitive reputed company pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your reputed company reputed company. We invite you to apply, and our reputed company will reputed company an reputed company of your potential compensation and benefits package. EEO Statement: reputed company Health Plan Holding Company, Inc. is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religious creed, national reputed company, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that reputed company individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by reputed company 503 of the Rehabilitation reputed company of 1973, the Vietnam Veteran's Readjustment reputed company of 1974, and Title I of the Americans with reputed company of 1990, applicants who require accommodation in the job application process may contact reputed company at (857)-282-7642. reputed company Competency reputed company At reputed company, our competency reputed company defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at reputed company job level. The reputed company is comprised of ten competencies (half People-reputed company, half Performance-reputed company) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career reputed company. These competencies are used to evaluate performance, reputed company hiring reputed company, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Apply tot his job Apply To this Job