Quality Improvement

5 days ago

San Francisco, United States San Francisco Health Plan Full time
Job DescriptionJob Description

Reporting to the Manager, Quality Improvement, the Quality Improvement & Health Equity (QIHE) Program Manager is responsible for Quality Improvement and Health Equity programs and oversight. You will connect health equity to QI and care experience. Primary responsibilities include health equity oversight, regulatory and accreditation reporting, including the Health Equity Quality Measure Set, and leading SFHP's cross-departmental health equity efforts, programs and interventions.

Salary: $75,000 to $90,000

WHAT YOU WILL DO:

  • Coordinate major Quality & Health Equity priorities by supporting measure identification and prioritization based on regulatory requirements and NCQA Health Plan and Health Equity standards.
  • Collaborate with the Chief Health Equity Officer and Quality & Population Health Management staff in co-producing the annual Quality Improvement & Health Equity Transformation Program Description, Work Plan and Evaluation which outlines and evaluates SFHP’s Health Equity efforts.
  • Work with the Quality Data Analytics team to ensure stratified reporting of Health Equity Quality Measure Set and project manages required improvement projects or participates in projects that result from measures not meeting set benchmarks.
  • Produce quality and health equity related materials to solicit feedback from the SFHP’s external groups including the Quality Improvement and Health Equity Committee, the Member Advisory Committee, and provider network collaborative meetings.
  • Provide guidance in project teams related to Quality and Health Equity, to ensure that project work is measurable, impactful, cost-effective, and consistent with organizational goals.
  • Participate in quality and health equity work plan development, completion of work, and mid-term and long-term strategic planning of Health Equity.
  • Identify causes for quality improvement and health equity through measurement, collaboration, and systems analysis.

WHAT YOU WILL BRING:

  • Required: Bachelor’s degree in Public Health, Business, Sociology, or related area, or equivalent relevant work experience.
  • At least three years’ experience in project management or program management in health care operations or quality improvement or equivalent work experience or certifications such as Project Management Certification
  • Desired: Master’s degree in healthcare field; experience working in health care delivery system or at a health plan.
  • Familiarity with the Model for Improvement, health care, managed care terminology, Medi-Cal.

WHAT WE OFFER:

  • Health Benefits
    • Medical: You’ll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.
    • Dental: You’ll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
    • Vision: Employee vision care coverage is available through Vision Service Plan (VSP).
  • Retirement – Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
  • Time off – 23 days of Paid Time Off (PTO) and 13 paid holidays.
  • Professional development: Opportunities for tuition reimbursement, professional license/membership.

ABOUT SFHP:

Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.
San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.

#LI-Hybrid

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