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Quality Management Specialist - Hybrid Of Choice

Company

Independence Blue Cross
Address , Philadelphia, 19103, Pa
Employment type
Salary
Expires 2023-07-27
Posted at 11 months ago
Job Description

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.

Responsibilities:

As part of the Quality Management team, the Quality Performance Specialist is responsible for the coordination and ongoing monitoring of QI program objectives, including the delivery of performance improvement projects for service and clinical activities, integrating the quality improvement plan into all departments, and facilitating NCQA accreditation activities. Implements and supports the overall implementation of quality programs that meet or exceed applicable State, Federal and NCQA standards.


Principal Accountabilities:

  • Executes on organizational efforts in ongoing quality improvement processes to ensure compliance with State, Federal, regulatory and accrediting body’s standard requirements.
  • Responsible for the successful development and evaluation of an annual QI work plan and program description by facilitating QI throughout the organization.
  • Identifies resolves and/or escalates problematic QI areas that may place plan at risk of not achieving annual goals.
  • Participates in the development, implementation and maintenance of QI policies and desk procedures.
  • Serves as a resource to other departments in completing QI goals.
  • Works professionally and efficiently with all functional areas in meeting organizational and departmental quality goals.
  • Participates on QI committees structured to achieve outcomes success and completes committee documentation that is consistent in meeting regulatory and accrediting body requirements.
  • Responsible for coordinating the review and revisions made to QM policies and desk procedures.
  • Assist with accreditation activities, including survey preparation and creation of readiness assessments.
  • Performs other duties as assigned.

Education/Experience:

  • Bachelor’s degree
  • Minimum of 2-3 years in clinical or service quality improvement preferred
  • Minimum of 2-3 years in healthcare delivery preferred
  • Managed Healthcare experience preferred.
  • Successful management of NCQA accreditation survey preferred
  • Excellent organizational, analytical and interpersonal skills.
  • Excellent written and verbal communication skills.
  • Ability to work successfully within all levels of the organization.
  • Self-motivated, highly organized and detailed oriented as well as above average solving, and verbal and written communication skills are required.
  • Ability to design, develop and implement projects to address financial, quality and service improvements.
  • Advanced working experience with Excel (functions, pivot-tables), Word, Access and Power-Point required.

Hybrid of Choice:

Independence has implemented a “Hybrid of Choice” model which provides our associates with the flexibility to choose whether to work remotely, work in the office every day, or work in the office on certain days at their discretion. However, management may require our associates to work from Independence’s physical office locations on certain occasions. This role is designated as a role that fits into the “Hybrid of Choice” model. While associates may work remotely, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.

Independence Blue Cross is committed to the health, safety, and well-being of our associates. In support of that focus, Independence expects all new hires to be up to date with COVID-19 vaccination and booster*. Independence’s policy provides reasonable accommodations for medical or religious reasons as required by law. The process for requesting a reasonable accommodation is communicated to candidates when they are offered employment.

  • To be considered “up to date” with COVID-19 vaccination and booster, individuals must have received an initial series of the vaccine (whether a 1-dose or 2-dose series) and timely receive a booster once eligible. Individuals not yet eligible to receive a booster shot will be required to timely obtain a booster once eligible.