Program Manager II, Care Improvement

Who we are

About the Role

The Program Manager, Care Improvement is responsible for deploying improvement initiatives and facilitating best practice sharing for Community Health Plan of Washington’s network of community health centers (CHCs). The incumbent is part of a team that provides structured quality improvement support (practice coaching) and facilitates network learning opportunities (webinars, newsletters, roundtables), in support of primary care transformation and improved health outcomes of CHPW’s members.

To be successful in this role, you:

• Have a Bachelor’s degree in health administration, nursing, public administration, public health, or closely related field, or an equivalent combination of education and experience.
• Have experience in health care, preferably in an ambulatory or outpatient care setting, desired.
• Have previous professional experience in change management, project management or quality improvement initiatives, desired.

Essential functions and Roles and Responsibilities:

• Community Health Center Engagement:
  • Build meaningful relationships with key contacts at CHCs. This includes effectively managing regular site visits and phone calls, providing data and information related to specific performance metrics, analyzing data to make actionable recommendations for improvement, and promoting CHPW initiatives.
  • Design an annual quality improvement work plan in collaboration with each CHC in the incumbent’s portfolio and facilitate CHC toward completion of the collaborative work plan.
  • Act as primary point of contact for Quality-related issues, including connecting CHC and CHPW contacts on quality issues; serve as liaison to other CHPW departments, including Information Technology; Marketing; Provider Relations.

• Community Health Center Learning and Communications:
  • Identify opportunities for shared learning of best practices, including facilitating peer-to-peer connections between CHCs focused on specific quality measures.
  • Collaborate with Care Improvement Team members on development of webinars, newsletters, and other communications.
  • Work with Care Improvement Team on development of in-person Quality Improvement Roundtable events.

• Community Health Center Resources Development:
  • Design written and electronic resources for CHCs to support quality improvement, including performance measure toolkits, program overviews, and other tools as needed.
  • Create and distribute performance reports in support of quality incentive programs or other quality data and analyses.

• Requires up to 15%-25% in-state travel. Some overnight travel may be required.
• Other duties may be assigned.

Knowledge, Skills, and Abilities:

• Knowledge of key drivers for HEDIS, HOS and Star measures.
• Knowledge of the primary care practice coaching model.
• Experience managing change initiatives for health care teams.
• Experience implementing the Patient-Centered Medical Home.
• Experience in staff development and training for healthcare providers.
• Effective oral and written communication skills, including presentation of data and reports to executive teams.
• Effective process improvement, project management and organizational skills.
• Effective interpersonal skills that enable relationship building with all levels and functions of a health care organization.
• Effective analytic and problem-solving skills.

Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn’t perfectly check every box in the job description, we encourage you to apply anyway.

As part of our hiring process, the following criteria must be met:

• Complete and successfully pass a criminal background check.

Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant’s criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.

• Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency.
• Vaccination requirement (CHPW offers a process for medical or religious exemptions)
• Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.

Compensation and Benefits:

The position is FLSA Exempt and is not eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s job-related knowledge, skills, and experience among other factors.

CHPW offers the following benefits for Full and Part-time employees and their dependents: 

•  Medical, Prescription, Dental, and Vision
•  Telehealth app
•  Flexible Spending Accounts, Health Savings Accounts
•  Basic Life AD&D, Short and Long-Term Disability
•  Voluntary Life, Critical Care, and Long-Term Care Insurance
•  401(k) Retirement and generous employer match
•  Employee Assistance Program and Mental Fitness app
•  Financial Coaching, Identity Theft Protection
•  Time off including PTO accrual starting at 17 days per year.
•  40 hours Community Service volunteer time
•  10 standard holidays, 2 floating holidays
•  Compassion time off, jury duty

Sensory/Physical/Mental Requirements:

Sensory*:

• Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.

Physical*:

• Extended periods of sitting, computer use, talking and possibly standing
• Frequent finger dexterity; occasional simple grasp and wrist flexion
• Constant walking or climbing stairs.
• Occasional stooping, bending, and twisting.
• Frequent kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching.

Mental:

• Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines.

Work Environment:

Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.