Quality Improvement Program Manager

3 weeks ago


Rancho Cucamonga, United States Inland Empire Health Plan Full time

What you can expect

Find joy in serving others with IEHP We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience

Under the direction of department leadership, the Quality Improvement Program Manager will drive quality improvement initiatives across the continuum of care (i.e. acute care hospitals, skilled nursing facilities, hospice agencies, etc.) to enhance the overall quality of care delivered to Members. Responsible for identifying, developing, coordinating, promoting, supporting, and implementing assigned clinical quality, and/or service improvement projects and programs, the Quality Improvement Program Manager acts as a lead for evidence-based practice integration, provider training/education, policy review/development, and regulatory/accreditation interpretation. Specifically, develops continuous and targeted activities to improve performance related to Centers for Medicare & Medicaid Services (CMS) Star Ratings, HEDIS, CAHPS, HOS, P4P and other identified performance measures. Manages multiple complex initiatives that impact the quality or effectiveness of health care delivery and/or health care services. Acts in conjunction with both external facing and plan quality improvement leaders and key stakeholders to provide support for multi-disciplinary teams.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.

CalPERS retirement
457(b) option with a contribution match
Generous paid time off- vacation, holidays, sick
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Paid life insurance for employees with additional options
Short-term, and long-term disability options
Pet care insurance
Flexible Spending Account – Health Care/Childcare
Wellness programs that promote a healthy work-life balance
Career advancement opportunities and professional development
Competitive salary with annual merit increase
Team bonus opportunities

Education & Experience

Minimum six (6) years of experience in a clinical/health care environment with demonstrated experience at a professional level in quality improvement/clinical program oversight/project management.
Bachelor’s degree in science or health/healthcare related field from an accredited institution required.
Certified Professional of Healthcare Quality (CPHQ), or other recognized quality improvement certificate required or within one (1) year of hire (maintained through employment).
Minimum possession of one of the following active, unrestricted, and unencumbered clinical licenses required:
Registered Nurse (RN) license issued by the California BRN
Advanced clinical licensure issued by appropriate State Board (i.e. PA)

Key Qualifications

Must have a valid California Driver’s license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points.
Working knowledge of healthcare quality performance and measurement sets including CMS quality withhold, Managed Care Accountability Set, NCQA Quality Improvement Standards and HEDIS.
Ability to apply knowledge of project management techniques, tools of continuous improvement, and work process redesign.
Knowledge of advanced clinical processes and/or hospital operations.
Requires knowledge of the local healthcare market, patient demographics and needs and plan-specific information.
Proficient in all Microsoft Office applications, with an emphasis on Excel, PowerPoint and Visio.

Start your journey towards a thriving future with IEHP and apply TODAY



  • Rancho Cucamonga, United States Inland Empire Health Plan Full time

    What you can expect!Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!Under the direction of department leadership, the Quality Improvement Program Manager will drive quality improvement initiatives across the continuum of care...


  • Rancho Cucamonga, United States Inland Empire Health Plans Full time

    What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of department leadership, the Quality Improvement Program Manager will drive quality improvement initiatives across the continuum of care...


  • Rancho Cucamonga, United States Inland Empire Health Plan Full time

    What you can expect!Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!Under the direction of management, and with minimal supervision, the Quality Improvement (QI) Facilitator II works closely with front line leaders, external...


  • Rancho Cucamonga, United States IEHP Full time

    Start your journey towards a thriving future with IEHP and apply TODAY!Pay RangeUSD $43.87 - USD $58.13 /Hr.What you can expect! Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as...


  • Rancho Cucamonga, United States IEHP Full time

    Start your journey towards a thriving future with IEHP and apply TODAY!Pay RangeUSD $43.87 - USD $58.13 /Hr.What you can expect! Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as...


  • Rancho Cucamonga, United States IEHP Full time

    Start your journey towards a thriving future with IEHP and apply TODAY!Pay RangeUSD $43.87 - USD $58.13 /Hr.What you can expect! Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as...


  • Rancho Cucamonga, United States Vocational Improvement Program Inc Full time

    Be the Direct Service Advisor (DSA) that is going to change the lives of others! We are looking for a creative and energetic DSA that will introduce individuals with disabilities, also referred to as clients, to new job opportunities while simultaneously improving their job readiness! VIP has assisted thousands of adults with intellectual disabilities...


  • Rancho Cucamonga, CA, United States IEHP Full time

    Start your journey towards a thriving future with IEHP and apply TODAY!Pay RangeUSD $43.87 - USD $58.13 /Hr.What you can expect! Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as...


  • Rancho Mirage, United States Eisenhower Health Full time

    Job Objective: A brief overview of the position.The RN- Manager Clinical Quality/Process Improvement effectively executes the safety and quality agenda and system standards of practice to ensure safety, quality, and experience of care at every point of service as well as employee and patient safety across the professional nursing practice, clinical areas and...

  • Site Program Manager

    1 month ago


    Rancho Cucamonga, United States Think Together Full time

    Overview: **Job Title: Site Program Manager** **Status: Full Time, Exempt** **ESSENTIAL DUTIES AND RESPONSIBILITIES**: - Manages successful day-to-day site operations and program activities. - Ensures that all program activities operate consistently and ethically within the mission and values of Think Together and align with the four core agreements: 1) Be...

  • Quality Engineer

    1 month ago


    Rancho Cucamonga, United States Tekni-Plex Full time

    Quality Engineer "Come build a Career with our Growing, Fast-Paced, Customer-Focused Company that fosters Training & Professional Development!" Do you have a passion for Quality and are looking for a new challenge and an exciting opportunity to advance your knowledge, skills and career in a great working environment? Would you like to have a job that allows...

  • Quality Engineer

    2 weeks ago


    Rancho Cucamonga, United States Amtec, LLC Full time

    The Quality Engineer is responsible for ensuring product quality through all levels of the supply chain of a vertically integrated manufacturer. The Quality Engineer plans and conducts activities with both internal and external stakeholders to control production processes through implementation of inspection plans, failure analysis investigations, and...


  • Rancho Cucamonga, United States Inland Empire Health Plan Full time

    What you can expect!Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related studies for...


  • Rancho Cucamonga, United States Inland Empire Health Plan Full time

    Overview: What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience! This is a unique opportunity to play a crucial role in support of the Legal Departments Board Services team that primarily serves the Inland Empire Health...

  • RN/Registered Nurse

    6 hours ago


    Rancho Mirage, United States Eisenhower Health Full time

    Job Objective: A brief overview of the position.The RN- Manager Clinical Quality/Process Improvement effectively executes the safety and quality agenda and system standards of practice to ensure safety, quality, and experience of care at every point of service as well as employee and patient safety across the professional nursing practice, clinical areas and...


  • Rancho Cucamonga, United States HavenHub Full time

    **Start your exciting new career in Homes Solutions and Services** We're on the lookout for talented individuals in Orange County & Inland Empire, California. **About Us** HavenHub is revolutionizing home services. By combining cutting-edge technology with exceptional customer service, we deliver seamless solutions for homeowners nationwide. Join our...


  • Rancho Cucamonga, United States Alura Workforce Solutions Full time

    Position Quality Review Nurse, RN Description MUST live in California and be able to wrok a hybrid position. Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for: - Receive and research all PQI and QR cases as assigned, provide a summary and recommendations to the Medical Director of case...

  • RN-Infection Control

    18 hours ago


    Rancho Mirage, United States Eisenhower Medical Center Full time

    * Share Job: * Email * Facebook * Linkedin chevron_left Back To Results Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California. * Job Objective: A brief overview of the position. * Responsible for assisting in coordinating an effective hospital-wide program for the...

  • Program Coordinator

    1 month ago


    Rancho Cucamonga, United States Latina Study Full time

    Programs Coordinator Job Overview Programs Coordinator helps NLBWA-IE enrich the lives of individuals through educational and social programs that align with the vision and mission of the organization. The coordinator oversees the entire schedule of program offerings, reviewing the effectiveness of current options and drafting proposals for new programs that...

  • Analyst III

    3 weeks ago


    Rancho Cucamonga, United States IEHP Full time

    What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! The Analyst III - Compliance Program has expert knowledge and performs key Compliance Program activities of complex difficulty. Team Members in this position are...