Manager Health Plans Quality - Health Plan Admin

DescriptionSummary: Responsible for creating and facilitation training strategies/programs to support an operational team responsible for working closely with and understanding the process of abstraction and pursuit of HEDIS® measures to ensure that operational milestones, gap closures, rates, and overall successful quality standards are met. Equally responsible for all program descriptions, evaluations and workplans being created and managed year over year. Responsibilities: Must be able to create dashboards, use SPSS, Qualtrics or similar software programs to create appropriate analysis of monthly output/inputWork with Patient Safety to produce adhoc reports; must be a true team player and willing to go the extra mileHandle all program descriptions, evaluations workplans and CAHPs reporting. (i.e. PD/PE & CQMP &CQMP AR). Assist HEDIS team to facilitate and coordinate HEDIS® training, technical training understanding, and workflow processes, Be knowledgeable of HEDIS® software training, admin and hybrid measure training and creating training materialsCoordinates training related to external client facing program; develops program success measures and performs periodic assessments of program success.Assures compliance with corporate QI work plan.Must be a good writer, communicator and possess the skills to get along with others.Assures that all QI activities are relevant to the needs of targeted population.Work collaboratively with various departments, vendors, internal/external, when necessary to leverage our resources effectivelyMaintains effective documentation of research programs to meet regulatory and Accreditation Standards.Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results.Participates in and provides input to the development of new product designs for major line of business.Oversees the implementation of new initiatives.Leads interactions with regulators or oversight entities.Oversees quality improvement activities for the largest, most complex health plan partners’ programs. Requirements: Bachelor’s in health administration, Informatic nursing, nursing or a related clinical field required in lieu of RN licensureMasters in public policy – Administration, Nursing informatics, MBA, MPH or MPA preferred4 years of health care quality or data analysis experience.5-7 years of HEDIS experience, or any combination of education and experience, which would provide an equivalent background that shows proficiency.Project management knowledge with deep understanding if certification is not present preferredProgram management with at least 2 plus years of experience preferredRN Licensure required in lieu of Bachelor’s degree Work Type: Full Time EEO is the law - click below for more information:  https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925. Additional Information: - Specialty: RN - Location: 5101 North O Connor BoulevardIrving, Texas 75039 - Contact: About the Company: CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ. To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States. EXTENDING THE HEALING MINISTRY OF JESUS CHRIST We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.