Performance Improvement Consultant jobs in Cleves, OH

Description

HEDIS Performance Improvement Director

Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

The HEDIS Performance Improvement Director will support the Enterprise Health Outcomes Organization HEDIS Improvement team and Enterprise Quality Strategy and Management team by providing operational analysis of HEDIS performance across all lines of business.

How you will make an impact:

• Facilitate the achievement of all enterprise HEDIS improvement goals by identifying, implementing, and tracking key operational improvement opportunities, projects, and programs.
• Create methodologies and processes to implement and track key performance improvement projects across all segments of the business to ensure implemented improvements yield expected outcomes.
• Lead the development of key performance indicators and scorecards and ensure that progress against all metrics is reported uniformly across all segments of the business.
• Synthesizes and assimilates all HEDIS performance data to inform leadership on appropriate improvement needs.
• Create and maintain clear lines of communication with business leaders, and HEDIS performance stakeholders.
• Collaborates on the standardization, maintenance, and optimization of performance from all aspects of HEDIS operations.
• Contributes to HEDIS improvement planning throughout the enterprise by integrating operational targets with strategic business performance analysis.
• This position will frequently work with other members of the Health Outcomes Organization (HOO) and Enterprise Quality Strategy and Management (EQSM) team to prepare, assess, or facilitate presentations or other documents for senior leadership that require broad scope as well as intimate knowledge of the detailed workings of the company.

Minimum Requirements:

Requires a BA/BS and a minimum of 10 years of increasingly responsible financial, project and/or operational experience in healthcare; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• MS/BA/BS in healthcare related field
• 10 years of experience in HEDIS operations and data management, medical record review, member and provider engagement, CMS Medicare Stars Program, Medicaid and Exchange quality programs and commercial lines of business
• 10 years of project management experience and HEDIS operational improvement experience
• Adept communication and presentation skills and an ability to provide key updates to leadership and stakeholders with ease
• Cross-functional collaborator, facilitator, and champion for positive operational change

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $148,120 to $222,180.

Locations:  District of Columbia (Washington, DC)

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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 elevancehealthjobssupport@elevancehealth.comfor assistance.