Performance Improvement Evaluator II

atCareSourceRemoteUS flagUnited StatesFull-timeUncategorizedJuniorMid-level$62.7k – $100.4k/year

Posted 3 days ago

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist in executing and assessing performance enhancement and population health initiatives through the application of quality improvement methodologies.

• Act as market support for program evaluation, research designs, and methodological strategies.

• Provide assistance to the market Quality Director with qualitative and quantitative analyses and continuous improvement tools aimed at discovering opportunities to enhance health outcomes.

• Contribute to action plans based on performance indicators from State Agencies, AHRQ, HEDIS, and CAHPS.

• Aid in the creation and monitoring of Performance Improvement Projects (PIPs).

• Prepare quarterly and annual reports analyzing quality data.

• Employ statistical methods, visualizations, and data to fulfill HEDIS analytical requirements and assess impact.

• Oversee and report on provider profiling, focus group activities, and stakeholder interviews.

• Identify areas for improvement through quantitative and qualitative analysis.

• Assist in the design of epidemiological studies aimed at specific populations for targeted interventions.

• Support the development of surveys, evaluation frameworks, and facilitation guides.

• Conduct process and gap analyses to identify improvement opportunities and create reusable solutions.

• Investigate industry best practices and perform other related tasks as needed.


⛳️ Requirements

• A Master's degree in public health or a related discipline (e.g., health promotion, evaluation) is mandatory.

• A minimum of two (2) years of pertinent work experience in program evaluation is necessary.

• Experience with the model for improvement (PDSA - Plan, Do, Study, Act) is essential.

• Proficient in Microsoft Word, Access, and possess advanced skills in Excel.

• Familiarity with various quality improvement methodologies, including the Model for Improvement, Lean, and Six Sigma.

• Knowledge of establishing and documenting PDSA cycles and key driver diagrams.

• Strong analytical skills for problem-solving.

• Skills in graphic development and presentation.

• Acquainted with descriptive statistical applications and techniques.

• Possess critical listening and thinking skills, along with strong verbal and written communication abilities.

• Proficient problem-solving capabilities.

• Exceptional writing skills are required.

• Previous experience in healthcare or managed care is preferred.

• Familiarity with managed care and healthcare data coding is also preferred.

• Licensure and Certification: None required.


🏝️ Benefits

• Bonus linked to both company and individual performance.

• Comprehensive total rewards package.

• Support for employee total well-being.

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