Post Date: 06/10/2020
Close Date: 07/31/2020
Are you excited to step into a complex world that requires a blend of mind, heart and flexibility? We at CareOregon have been strengthening communities since 1994 by making health care work for everyone. As a nonprofit health plan largely focused on Oregon’s Medicaid population, we find fulfillment in supporting the underserved.
Position Title: Quality Improvement Analytics Supervisor
Department: Network and Clinical Support
General Statement of Duties
This position supervises the day-to-day operations of a team of Quality Improvement Analysts. The team is responsible for tracking, reporting, and providing technical assistance on clinical quality metrics including Oregon Health Authority (OHA) Incentive Metrics and Medicare STARS measures. In addition, the team supports Performance Improvement Projects, value-based payment models and other clinical quality programs. The Quality Improvement Analytics Supervisor participates in OHA quality committees and supports the Quality Improvement Analytics Manager and Director of Delivery System Improvement with plan-wide quality improvement and data strategy activities. The position also is responsible for identifying, estimating, tracking and reporting on projects and requests within the unit, supervising unit employees, managing workloads, improving processes and developing staff members.
Essential Position Functions
Supervise the work and oversight of the Quality Improvement Analysts team.
Oversee submission of regulatory deliverables to Oregon Health Authority and Centers for Medicare and Medicaid Services.
Assist with development and implementation of policies and procedures that are compliant with Medicaid/Medicare regulations as well as NCQA.
Ongoing analysis of data relevant to the functional areas of the unit; identify opportunities for improvement and develop strategies.
Collaborate with manager and staff in planning, designing, and implementing new analytic strategies.
Provide support to the Quality Improvement Analytics manager and Director of Delivery System Improvement.
Keep abreast of best practices in clinical quality measurement and incorporate these practices into the team’s work.
Ensure program expectations and standards are clearly understood by unit staff.
Work in coordination with other relevant CareOregon departments.
Plan, organize, manage and monitor work projects and requests.
Participate in workgroup meetings related to clinical quality improvement and data analysis.
Study and analyze tables, graphs, charts and report results in a variety of formats.
Perform other duties and projects as assigned.
Essential Department and Organizational Functions
Propose and implement process improvements.
Meet deadlines for completion of workload.
Maintain agreed upon work schedule.
Demonstrate cooperation and teamwork.
Provide cross-training on specific job responsibilities.
Meet identified business goals that contribute to departmental goals.
Performs other duties and projects as assigned.
Management and Leadership
Train, supervise and evaluate performance of assigned staff.
Provide staff with the training, mentoring, development opportunities, and resources necessary to carry out their work.
Provide coaching on specific job responsibilities, including analytics tools.
Ensure adherence to department and organizational standards, policies and procedures.
Ensure performance goals, expectations and standards are clearly understood by supervised staff.
Evaluate employee performance on an ongoing basis; take appropriate corrective action if needed.
Perform human resource functions in collaboration with Human Resources.
Knowledge, Skills, and Abilities Required
Knowledge of managed care concepts and principles
Knowledge of health plan regulatory reporting requirements of Medicaid and Medicare managed care; specifically, OHA CCO incentive metrics and Medicare STARS measures
Knowledge of basic health plan operations
Knowledge of best practices in data visualization
Experience with operationalizing quality improvement and process improvement concepts, principles and practices
Knowledge of organizational improvement principles and practices
Ability to provide leadership to groups of people and the implementation of projects
Ability to manage multiple tasks, complex projects and to delegate as deemed appropriate
Excellent reading, oral and written communication skills
Excellent problem solving and decision-making skills
Ability to work well under pressure in a complex and rapidly changing environment
Ability to work independently
Ability to work in an environment with diverse individuals and groups
Ability to mentor individual growth
Ability to support and comply with organizational policies, procedures and guidelines
Excellent interpersonal skills
Proficient user of Microsoft Office programs, Tableau, SPSS, SAS, or other statistical software
Education and/or Experience
Minimum five years’ experience in health care quality improvement, research or related position required.
Minimum two year’s supervisory or leadership experience preferred.
Bachelor or Master’s degree in Healthcare, Public Health, Business, Analytics or a related field.
Detailed knowledge of the Oregon Health Plan (OHP) benefit and the Oregon Health Authority (OHA) and the Centers for Medicare and Medicaid Services (CMS) rules, regulations and programs.
Travel: This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.
Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
Veterans welcome to apply
CareOregon is making a difference. Join us.
For people who care about helping others, CareOregon is the place to be. We’re a nonprofit health plan dedicated to providing access to high-quality, cost-effective, culturally competent care for Oregon Health Plan and Medicare Advantage participants. For compassionate innovators committed to improving health care throughout Oregon, we offer a great work environment where your contributions are recognized. CareOregon’s culture emphasizes collaboration among our employees, members, providers and community partners. We are driven by our values, woven with responsibility, passion, initiative and empathy. Join us because you’ll be part of a growing nonprofit health plan that has been at the forefront of health reform and health care innovations for more than 25 years.
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