[Hiring] Performance Improvement Evaluator II @CareSource

Role Description

The Performance Improvement Evaluator II assists with implementing and evaluating performance improvement and population health processes through the integration of quality improvement science.

• Serves as the market support in program evaluation, study designs, and methodological techniques.
• Supports the market Quality Director to conduct assessments using qualitative and quantitative methodologies and continuous improvement tools to identify issues and opportunities to improve health outcomes.
• Contributes to the development, implementation, and monitoring of action plans based on performance metrics (State Agencies, AHRQ, HEDIS, CAHPS).
• Supports the market Quality Director and market business owners in developing and monitoring Performance Improvement Projects (PIPs).
• Assists with developing quarterly and annual quality data analysis reports.
• Uses basic statistical techniques, graphics, and data to summarize HEDIS analytical needs to measure impact of various actions/results.
• Monitors and provides reports regarding the process of provider profiling, focus groups, and stakeholder interviews.
• Identifies opportunities for improvement in performance measure and survey scores based on evidence-based results of quantitative and qualitative analysis.
• Assists in the development of focus studies using epidemiological methodology to target population for interventions.
• Conducts assessments to identify issues and opportunities using qualitative and quantitative methodologies and continuous improvement tools to improve health outcomes.
• Contributes to the development of surveys, evaluation designs, and facilitation guides.
• Conducts process and gap analysis to diagnose process improvement opportunities and to develop re-usable solutions using principles of process excellence and related tools.
• Explores best practices across various industries to bring to the work team.
• Performs any other job-related instructions, as requested.

Qualifications

• Master of public health or related field degree (e.g. health promotion, evaluation, etc.) is required.
• Minimum of two (2) years of relevant work experience in program evaluation is required.
• Experience using the model for improvement (PDSA-Plan, Do, Study, Act) is required.
• Previous healthcare or managed care experience is preferred.

Requirements

• 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.

Benefits

• Compensation Range: $62,700.00 - $100,400.00.
• 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.

Working Conditions

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

Licensure and Certification

• None.

Company Description

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.