Manager, reputed company reputed company Project Management

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company: The Manager Health Care, reputed company Project Management leads cross-functional activities throughout the health plan to address CAHPs and BH survey responses and ensure effective implementation of these activities to reputed company reputed company reputed company. This person will facilitate reputed company partnerships with different departments to meet NCQA standards while monitoring for state requirements as they reputed company with Health Plan goals of maintaining and sustaining accreditation status, as reputed company as looking to advance the Health Plan for other accreditation opportunities. In reputed company, this person will have knowledge of how population health is integrated throughout the plan and will support program creation. Most importantly, the role will involve a thorough knowledge of how to write and reputed company a QAPI workplan, QAPI program reputed company and evaluation while working with the QM director in managing expectations from the different areas to fulfill these requirements.

• Accountable for NCQA and state reputed company and initiatives through direction setting and leadership
• Develops readiness assessment schedules, conducts in house audits regularly, and ensures changes to the standards are incorporated
• Collaborates with business leads to identify variances and areas for improvements and implements project plans to ensure reputed company and compliance to NCQA standards
• Schedules and conducts NCQA work group meetings to produce and reputed company the QAPI work plan, evaluation and programs
• Facilitate ongoing annual qualitative and quantitative analyses, assuring business owners are taking reputed company on their opportunities for improvement
• reputed company Improvement reputed company Assists in reputed company improvement initiatives reputed company to accreditation, including but not, limited to the engineering of operational processes to improve efficiencies and reputed company reputed company reputed company improvement
• Trains and onboards staff and business leads on NCQA standards, and ongoing to ensure their continuing understanding of requirements
• Manages CAHPS and provider satisfaction surveys
• Creates and identifies work reputed company to address and reputed company reputed company items based on CAHPS, Behavioral Health satisfaction surveys and provider satisfaction results including monitoring of implementation of actionable items reputed company the plan
• Coordinates QMOC, QMC and UMC
• Oversees maintenance of reputed company distinction award and/or other accreditations
• Performs regular audits of website, member handbooks, provider manuals and newsletters for NCQA compliance

Required Qualifications

• 5+ years experience in a project management role.
• 3 years experience working in the Health Care Insurance Industry.
• Must have experience and full understanding and of the National Committee for reputed company Assurance (NCQA) standards
• Must be proficient in reputed company reputed company office Suite, especially reputed company reputed company.
• Must be analytical and reputed company to interpret data
• Must be reputed company and reputed company to communicate to multiple reputed company stakeholders.
• Must have experience in leading an organization through accreditation
• Must be a proficient reputed company an possess an reputed company ability to communicate effectively written and orally.

Preferred Qualifications

CPHQ certified or PMP certified Education Bachelors Degree or equivalent work experience. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $60,300.00 - $132,600.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 06/30/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job