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Quality Improvement Program Analyst II
2 months ago
Transform the Future of Healthcare: At Iowa Total Care, we are dedicated to enhancing the health of our communities, one individual at a time. As a national organization, we offer competitive benefits and a fresh perspective on workplace flexibility.
** This position allows for remote work from anywhere within Iowa, with minimal travel required (less than 20%) **
Position Overview: The Quality Program Strategist II will be responsible for identifying industry trends and managing quality enhancement initiatives related to HEDIS or CAHPS strategies. This role involves collaborating with stakeholders to assess their business challenges and proposing effective solutions that deliver business value. You will analyze stakeholder concerns, develop hypotheses, and validate conclusions to determine suitable resolutions.
- Conduct thorough evaluations to support HEDIS gap closure and assess member/patient experiences for potential pilot initiatives or process enhancements aimed at achieving sustainable quality performance objectives. This evaluation encompasses a comprehensive review of measure specifications, performance trends, stakeholder engagement, industry literature, organizational initiatives, and relevant policies and procedures.
- Work collaboratively with assigned markets to ensure ongoing measure performance. Develop resources and tools to facilitate HEDIS gap closure and continuously assess health plan requirements, partnering with cross-functional teams for successful implementation.
- Oversee compliance with state reporting requirements, HHS, and HPMS memos concerning quality ratings. Establish policies and procedures for quality checks on all member and provider communications to guarantee the accuracy of information and alignment with Iowa Total Care's business objectives.
- Design, maintain, and deliver training programs for Quality Improvement Health Plan staff as needed based on assigned responsibilities.
Licensure/Certification: Preferred certifications include Registered Nurse (RN), Licensed Practical Nurse, Licensed Vocational Nurse, or Licensed Clinical Social Worker (LCSW); CPHQ certification is also preferred.
Iowa Total Care offers a comprehensive benefits package that includes competitive compensation, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible work approach with options for remote, hybrid, field, or office schedules. Actual compensation will be adjusted based on individual skills, experience, education, and other job-related factors as permitted by law. Total compensation may also include additional forms of incentives.
Iowa Total Care is an equal opportunity employer committed to diversity and values the unique perspectives that each individual brings. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law.
