Quality Program Manager Jobs

Company

FarmboxRx is an engagement platform that partners with health insurance providers to improve member health outcomes through nutrition and health literacy. Since 2014, FarmboxRx has been providing the necessary support for individuals to attain the highest level of health by promoting self-efficacy and inspiring individuals to take a more active role in their own health. FarmboxRx delivers customizable member engagement programs via food solutions that support sustainable, scalable, and long-lasting quality outcomes for Members and Healthcare Organizations.

Summary

The Quality Program Manager provides leadership in the development, coordination, implementation, and evaluation of the continuous quality improvement and organizational excellence initiatives throughout the company in the areas of quality of care, quality of service, 5-Star, and provider/member satisfaction. Works to establish and promote a culture of organizational excellence. Collaborates with senior management to define and manage the company’s quality strategies, including planning and execution of new programs and initiatives. The Quality Program Manager will support the development, and implementation of quality initiatives and programs in alignment with departmental and organizational strategy.

Achieves objectives by supporting planning, understanding program requirements, preparing, and executing action plans, coordinating stakeholders, detailed project documentation and follow up with project leads, resolving problems, identifying trends, metric development, determining improvement areas, implementing change and monitoring to ensure successful execution. Represents Quality on corporate-level initiatives and will identify cross-project dependencies to proactively mitigate as necessary.

An independent thinker, curious, a strong collaborator, have excellent organizational skills and an ability to prioritize multiple demands in an aggressive paced environment.

Analytical and comfortable with data and technology.

Essential Duties and Responsibilities include the following:

• Leveraging data to develop, implement, and evaluate the effectiveness of quality improvement initiatives rooted in evidence-based practices.
• Supporting other Quality Improvement processes as needed.
• Participating and leading cross-functional teams. Communicating with management on the status of projects including resource gaps and needs.
• Designing and implementing pilots, programs, partnerships, and initiatives with external and internal and preparing proposals for new and existing clients.
• Developing and building content to support decision making, understanding of quality intervention plans and execution.
• Understanding health plan and member’s unmet needs as it relates to obtaining care and achieving wellness.
• Understanding CMS/State program requirements and researching the external environment related to Quality improvement and innovations.
• Leveraging technology to coordinate multiple stakeholders to develop and implement innovations that allow for continuous improvement in quality performance.

Supervisory Responsibilities

• This position has no supervisor responsibilities

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to write routine reports and correspondence.
• Education and/or Experience
• Language Skills
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to speak effectively before groups of customers or employees of the organization.
• Requires a BS in health administration, nursing, or a related clinical field; 2 years of healthcare quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background

• Mathematical Skills
• Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
• Ability to add, subtract, multiply, and divide into all units of measure, using whole numbers, common fractions, and decimals.

• Strong knowledge base in areas of quality improvement, accreditation, HEDIS, satisfactory survey process, and organizational improvement.
• At least 5 years previous experience in Managed Care and Medicare is strongly preferred.
• To perform this job successfully, an individual should have expert working knowledge of Gmail and Google Workspace.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Ability to develop and give presentations and facilitate groups.
• Other Skills and Abilities
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Appreciation of cultural diversity and sensitivity towards the target population.
• Computer Skills
• Other Qualifications
• Reasoning Ability

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• While performing the duties of this Job, the employee is regularly required to sit and talk or hear.
• Specific vision abilities required by this job include close vision, distance vision, color vision, and the ability to adjust focus.
• The employee must occasionally lift and/or move up to 10 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

• The noise level in the work environment is usually quiet.
• Remote - work from home.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions