Program Manager, Senior

Your Role

The Quality Improvement Team is accountable for quality ratings and the organization, development, and execution of targeted, quality improvement initiatives in support of commercial medical groups, hospitals, affiliated providers, and our Covered California and CalPERS membership. The Program Manager, Senior will report to the Senior Manager, Quality Improvement. In this role you will be responsible in the commercial line of business for the development and execution of targeted, quality improvement initiatives with our external provider group partners to achieve improved outcomes in HEDIS measures. You will partner with other lines of business and align quality interventions to the organizational strategies for HEDIS, QRS, CAHPS, and our Covered California and CalPERS membership. The Program Manager, Senior will build relationships internally and externally, and manage data driven outcomes and targets, helping to facilitate getting provider data into our Blue Shield systems.

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience

• Requires at least 5 years of prior relevant experience

• Knowledge of HEDIS and CAHPS required

• Requires previous experience in quality improvement and process/performance improvement, ideally in an outpatient healthcare setting

• Requires previous project/program management experience

• Requires solid facilitation skills with demonstrated excellence in driving multi-disciplinary and cross-functional teams to consensus

• Highly adept computer skills: demonstrated mastery of all MS Office products (including Outlook, Excel, PowerPoint, Word); ability to execute data analysis in Excel to drive root cause analysis and produce PowerPoint presentation deliverables