Anticipated End Date:

2024-12-27

Position Title:

Clinical Quality Program Specialist

Job Description:

Location: This position is located in the state of Kansas. Ideal candidate must reside within 50 miles of our Olathe or Topeka PulsePoint.

The Clinical Quality Program Specialist is responsible for supporting projects and assisting the quality improvement activities and programs for and/or on behalf of the Health Plan.

How you will make a difference:

• Build and maintain project plan and schedule for projects that support the quality strategy, contributes to ensuring project deliverables are met, assist in documentation and project status tracing.
• Ensures integration of quality into the overall business process.
• Monitor activities to ensure project objectives are met within established time frames and budgets.
• Assists with compliance of corporate Quality Improvement (QI) work plans.
• Supports Clinical Quality Program with maintaining effective documentation to meet regulatory and Accreditation Standards.
• Conducts accurate and complete quantitative analysis of clinical data and presentation of results.
• Additional responsibilities will include scheduling, conducting and attending meetings, supporting management in overall objectives, assessing costs and savings.

Minimum Requirements:

• Requires 2 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.

Preferred skills, qualifications and experience:

• Experience with HEDIS strongly preferred
• BS in health administration, nursing or a related clinical field or current unrestricted license or certification in applicable field preferred (i.e. CPHQ).  
• MS in the health field (i.e. Nursing) preferred.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

QLT > Clinical Quality

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.