Role Overview
The Quality Performance Team Lead will manage the plan’s accreditation, preventive health improvement, business analysis and clinical/service quality improvement (including State Withholds, HEDIS and CAHPS). In addition to established a quality improvement philosophy throughout the organization and promotes the use of QI tools in decision-making. As Quality Performance Team Lead, creates and supports an environment that fosters teamwork, cooperation, respect and diversity.Be responsible for the oversight, design, and implementation of Quality projects ensuring identification of root cause, and with the assistance of the Quality Director establishes a work plan to implement interventions. This position will work in a collaborative manner with all providers, members, departments within AmeriHealth Louisiana and the AmeriHealth Caritas Family of Companies to conduct ongoing process and data review to identify opportunities for improvement.
Work Schedule
- Remote role
- Monday through Friday, 8:00 AM to 5:00 PM
Responsibilities
The Quality Performance Team Lead will be responsible for leading the development and implementation of interventions aimed at improving Service and Clinical Operation performance by:
- Performs ad-hoc analysis of any underperforming or “broken” processes by collaborating with Subject Matter Experts and/or Customers to define existing processes and make recommendations for improvement.
- Uses data and analysis tools to identify opportunities for improved performance and collaborates with peers to develop intervention strategies.
- Removes barriers to achieve successful completion of strategic projects.
- Conducts analysis and provides summary reports and analysis to senior management.
Education and Experience
- Bachelor’s Degree in a Health Related field required or the equivalent education and work experience required.
- Minimum of 3 years management experience in Quality Improvement.
- Minimum of 5 years of progressively responsible experience in a health related position.
- Previous experience in managed care required.