- Quality Improvement Interventions Analysis and Development:
- Work as part of the Stars team to continuously identify, plan, develop, implement, and evaluate interventions.
- Develop reports, analyses, and data mining to support program planning and interventions.
- Complete program and initiative evaluations such as return on investment and health outcomes.
- Apply detailed analysis and problem solving to research and recognize trends to assess need and identify opportunities for quality improvement.
- Gather and synthesize research studies, Stars industry information, and BCBSA resources to gain insight and apply best practices to health care quality improvement strategies.
- Conduct data analysis to support projects and interventions, including gathering data, analyzing data, and presenting recommendations.
- Program and Project Management:
- Plan and implement multiple cross-departmental programs and project(s) with guidance from program managers, executive sponsors, subject matter experts, and project staff.
- Define project scope and schedule by working with business area leads and develop project plans; including tasks, deliverables, and expected outcomes/goals.
- Develop and facilitate full project documentation and reporting to meet identified goals and objectives of each project.
- Proactively monitor overall project performance and life cycle (e.g., on time, within scope and with quality) against measure plans/dashboards and adjust as needed.
- Manage and track risks and issues to completion.
- Organize and lead project status and working meetings.
- Work directly with cross-departmental team members to facilitate communication. Prepare and provide status updates and reports to business owners, executive sponsors, partners, project teams, and others as required.
- Assist with tracking project expenses.
- Generate requirements, reports, and operational processes.
- Complete program and project evaluations, including accomplishments, outcomes, barriers, and opportunities.
- Cross-Functional Integration and Communication:
- Work with HMSA departments and external partners to collect and distribute information, complete tasks, facilitate communication, and provide status updates to ensure coordination among groups.
- Communicate analysis, assessments, recommendations and completed work product by creating and delivering written and verbal reports and presentations to quality committees and other internal and external stakeholders.
- Quality Improvement Program Support:
- Complete work and documentation to support completion of activities and documentation for the annual Quality Improvement Evaluation and Workplan.
- Support completion of required reporting and quality improvement plans.
- Coordinate, facilitate and conduct medical record reviews to support quality activities
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
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HMSA
Apr 23, 2025