Performance Improvement Evaluator III

Job Summary:

The Performance Improvement Evaluator III leads, implements, and evaluates performance improvement and population health processes through the integration of quality improvement science. 

Essential Functions:

• Serve as the market professional expert for program evaluation, study designs, and methodological techniques
• Support market Quality Director to conduct assessments using qualitative and quantitative methodologies and continuous improvement tools to identify issues and opportunities to improve health outcomes 
• Contribute to the development, implementation and monitoring of action plans based on performance metrics (State Agencies, AHRQ, HEDIS, CAHPS)
• Support the market Quality Director and market business owners in developing and monitoring Performance Improvement Projects (PIPs)
• Develop quarterly and annual quality data analysis reports
• Use statistical techniques, graphics and data to summarize HEDIS analytical needs to measure impact of various actions/results
• Monitor and provide reports regarding, process of provider profiling, focus groups and stakeholder interviews
• Identify opportunities for improvement in performance measure and survey scores based on evidence-based, results of quantitative and qualitative analysis
• Assist in the development of focus studies using epidemiological methodology to target population for interventions
• Conduct assessments to identify issues and opportunities using qualitative and quantitative methodologies and continuous improvement tools to improve health outcomes
• Contribute to the development of surveys, evaluation designs and facilitation guides
• Conduct process and gap analysis to diagnose process improvement opportunities and to develop re-usable solutions using principles of process excellence and related tools
• Explore best practices across various industries to bring to the work team
• Perform any other job related instructions, as requested

Education and Experience:

• Master of public health or related field degree (e.g. health promotion, evaluation etc.) is required 
• Minimum of five (5) years of relevant work experience in program evaluation is required
• Experience using the model for improvement (PDSA-Plan, Do, Study, Act) is required
• Education or work experience in maternal and child health or chronic conditions is preferred
• Previous healthcare or managed care experience is preferred

Competencies, Knowledge and Skills:

• 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
• Knowledge of managed care and health care data coding is preferred
• 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

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business