Performance Improvement Evaluator II

Job not on LinkedIn

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $62.7k - $100.4k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Assist with implementing and evaluating performance improvement and population health processes through the integration of quality improvement science • Serve as market support in program evaluation, study designs, and methodological techniques • Support the market Quality Director with qualitative and quantitative assessments and continuous improvement tools to identify opportunities to improve health outcomes • Contribute to action plans based on performance metrics from State Agencies, AHRQ, HEDIS, and CAHPS • Support development and monitoring of Performance Improvement Projects (PIPs) • Develop quarterly and annual quality data analysis reports • Use statistical techniques, graphics, and data to summarize HEDIS analytical needs and measure impact • Monitor and report on provider profiling, focus groups, and stakeholder interviews • Identify improvement opportunities based on quantitative and qualitative analysis • Assist in developing epidemiological focus studies targeting populations for interventions • Contribute to surveys, evaluation designs, and facilitation guides • Conduct process and gap analyses to diagnose improvement opportunities and develop reusable solutions • Explore industry best practices and perform other related duties as requested

🎯 Requirements

• Master of public health or related field degree (e.g. health promotion, evaluation etc.) is required • Minimum of two (2) years of relevant work experience in program evaluation is required • Experience using the model for improvement (PDSA-Plan, Do, Study, Act) is required • Proficient in Microsoft Word, Access and advanced proficiency in Excel is required • Knowledge of a variety of quality improvement methodologies – Model for Improvement, Lean, Six Sigma • Knowledge of establishing and documenting PDSA cycles and key driver diagrams • Analytic skills for solving problems • Graphic development/presentation skills • Familiar with descriptive statistical application and techniques • Critical listening, thinking skills, and verbal and written communication skills • Problem solving skills • Excellent writing skills • Previous healthcare or managed care experience is preferred • Knowledge of managed care and health care data coding is preferred • Licensure and Certification: None

🏖️ Benefits

• Bonus tied to company and individual performance • Comprehensive total rewards package • Employee total well-being support

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