Quality Improvement Project Manager/Accreditation Specialist

1 month ago

Los Angeles, United States AIDS Healthcare Foundation Full time
Job DescriptionJob Description

Overview

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation

Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?

If so, AIDS Healthcare Foundation is the place for you

Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

AHF’s core values are to be:

• Patient-Centered

• Value Employees

• Respect for Diversity

• Nimble

• Fight for What’s Right

STILL INTERESTED? Please continue


Responsibilities

This candidate will have a minimum of 2+ years Managed Care Health Plan and HEDIS Project Management experience

Essential Duties & Responsibilities

Includes the following. Other duties may be assigned.

  • Supports compliance with NCQA standards and participates in NCQA survey preparation.
  • Assists with preparation for HEDIS data collection, validation audits, data submission.
  • In concert with the Quality Committees, assists in the design and implementation of programs and projects to improve HEDIS rates.
  • Supports effort to complete the annual CAHPS and Provider Satisfaction surveys.
  • Collaborates with the Information Technology Department and with the Data Analyst to obtain relevant information to track and trend quality indicators.
  • Conducts audits of Primary Care Provider and Case/Disease Management records/charts to identify areas for improved quality of care.
  • Conducts external audits of contracted network providers to maintain the quality and integrity of the network.
  • Establishes and utilizes benchmarks and thresholds as quality indicators.
  • Performs selected outcome studies.
  • Participates in developing a training program related to Quality Improvement.
  • Performs incident (complaint/grievance) investigations.


Qualifications

We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment. AHF will consider qualified applicants with criminal histories in a manner consistent with the requirements of the ordinance.

  • Quality Improvement Project Manager/accreditation

    1 week ago

    Los Angeles, United States AIDS Healthcare Foundation Full time

    WHO WE ARE: **AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!** Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? **If so, AIDS...

  • Quality Improvement Specialist

    5 days ago

    Los Angeles, United States APLA Health Full time

    ***: Under the direction of the Quality Manager, the Quality Improvement Specialist will be responsible for leading quality and process improvement projects in an effort to increase clinical performance measures. The Quality Improvement Specialist is a non-clinical team member who is skilled at engaging patients over the phone and in-person and working with...

  • Project Manager Ii

    6 days ago

    Los Angeles, United States Kaiser Permanente Full time

    **Job Summary**: Manages small projects or components of larger projects with oversight from more senior project managers. Leads the work of project team members with guidance from more senior project members by requesting internal and/or external resources. Supports the management and proactive mitigation of project risks by assisting in the...

  • Quality Improvement Specialist I

    4 weeks ago

    Los Angeles, United States L.A. Care Health Plan Full time

    Quality Improvement Specialist I **Job Category**:Clinical**Department**:Quality Improvement**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:11268**Salary Range**: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.)- Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of...

  • Quality Improvement Manager

    2 months ago

    Los Angeles, United States Pailin Group Psc Full time

    The Quality Project Manager has an opportunity to interact with multiple people of different diversities, cultures, socioeconomic, educational, racial, and sexual orientation in an effort to deliver appropriate health and disease prevention, policies and regulations. The Quality Project Manager contributes to the mission by improving and validating health...

  • Quality Improvement Manager

    2 weeks ago

    Los Angeles, United States Pailin Group Psc Full time

    The Quality Project Manager has an opportunity to interact with multiple people of different diversities, cultures, socioeconomic, educational, racial, and sexual orientation in an effort to deliver appropriate health and disease prevention, policies and regulations. The Quality Project Manager contributes to the mission by improving and validating health...

  • Quality Improvement Specialist I

    3 weeks ago

    Los Angeles, United States L.A. Care Health Plan Full time

    Salary Range:  $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...

  • Quality Improvement Specialist I

    2 weeks ago

    Los Angeles, United States L.A. Care Health Plan Full time

    Salary Range:  $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...

  • Quality Improvement Specialist I

    3 weeks ago

    Los Angeles, California, United States L.A. Care Health Plan Full time

    Salary Range: $60, Min.) - $75, Mid.) - $91, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

  • Quality Improvement Specialist I

    2 weeks ago

    Los Angeles, California, United States L.A. Care Health Plan Full time

    Salary Range: $60, Min.) - $75, Mid.) - $91, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

  • Quality Improvement Specialist I

    3 weeks ago

    Los Angeles, United States Health Net Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose**: Support the data management and quality...

  • Quality Improvement Specialist I

    2 weeks ago

    Los Angeles, United States Centene Corporation Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Support the data management and quality improvement...

  • Quality Improvement Specialist I

    1 week ago

    Los Angeles, United States Centene Corporation Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Support the data management and quality improvement...

  • Quality Management Nurse Specialist RN II

    6 days ago

    Los Angeles, United States L.A. Care Health Plan Full time

    Quality Management Nurse Specialist RN II Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11339 Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state...

  • PACE Quality Improvement Specialist-I

    2 weeks ago

    Los Angeles, United States Altamed Full time

    Work Boldly. Live Brilliantly.At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels us...

  • Home Improvement

    4 weeks ago

    Los Angeles, United States JR Home Full time

    Job DescriptionJob DescriptionWe are seeking a Home Improvement - Project Manager! You will oversee project planning, sourcing, bidding, scheduling, budgeting, and implementation at our home.Responsibilities:Oversee all aspects of our home improvement project from planning to implementationAllocate resources for assigned projectsSupervise onsite personnel...

  • Construction Project Manager

    3 days ago

    Los Angeles, United States Project Support Services Full time

    Job DescriptionJob DescriptionProject Support Services is seeking a highly skilled Construction Project Manager to oversee both minor and major facility renovations at existing childcare center sites under a contract with the LACOE Head Start-State Preschool Program. Typical renovations may include replacement of modular building classrooms, general...

  • Construction Project Controls Specialist II

    4 weeks ago

    Los Angeles, United States Project Support Services Full time

    Join the Build LACCD Team as a Project Controls Specialist II (Cost Analyst)!Are you passionate about ensuring project success through meticulous financial management and analysis? Are you ready to take on a pivotal role in a dynamic organization dedicated to transforming our community college campuses? If so, we want you to join our team at the Los Angeles...

  • Construction Project Controls Specialist II

    2 weeks ago

    Los Angeles, United States Project Support Services Full time

    Join the Build LACCD Team as a Project Controls Specialist II (Cost Analyst)!Are you passionate about ensuring project success through meticulous financial management and analysis? Are you ready to take on a pivotal role in a dynamic organization dedicated to transforming our community college campuses? If so, we want you to join our team at the Los Angeles...

  • Construction Project Controls Specialist II

    4 weeks ago

    Los Angeles, United States Project Support Services Full time

    Job DescriptionJob DescriptionJoin the Build LACCD Team as a Project Controls Specialist II (Cost Analyst)!Are you passionate about ensuring project success through meticulous financial management and analysis? Are you ready to take on a pivotal role in a dynamic organization dedicated to transforming our community college campuses? If so, we want you to...