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Req. No

22879

Job Title

Program Manager Health Plans Quality Improvement

Market

CHRISTUS System Office

Category

General Operations

Travel

Minimum Overnight Travel Up To 10 Percent

Facility

CHRISTUS Corp Irving Offices 919 and 909 Buildings

Address

919 Hidden Ridge
Irving, TX  75038
USView Other Locations

Type

FULL TIME

Apply Now Program Manager Health Plans Quality Improvement Job in Irving

Summary:

CHRISTUS health plan is seeking someone to take charge and help manage our Programs within the quality department, and to work very closely with the Director of Quality, and other team members to ensure compliance with accreditation requirements are in place and re-engineered within appropriate timeframes. This role will conduct routine readiness and mock review assessment and evaluation of policies and procedures, as well as programs for CAHPs, and other initiatives. 

  • Active collaborator with multiple internal departments to create and implement various programs /plans under the Quality program/banner.
  • Monitors the various programs (e.g. PHM Strategy) from inception through completion.
  • Responsible for keeping the company current on NCQA and/or Center for Medicare/Medicaid Services (CMS) standards and requirements.
  • Manage the health plan NCQA preparations for accreditation surveys.
  • Take lead on program evaluation, program description, and work plan
  • Leads and manages team in planning and executing business programs.
  • Works with operational leaders within the business to provide recommendations on opportunities for process improvements.
  • Lead policy and procedure documentation reviews for the health plans based on NCQA standards.
  • Develop readiness assessment schedules, conduct accreditation audits and ensure changes to the standards are incorporated.
  • Manage quarterly Quality Improvement Committee meetings.
  • Manage all CAHPs and work with Population Health team
  • Work with Project manager to coordinate and manage operational functions of quality programs
  • Work closely with outreach team, special program oversight;
  • Other duties as assigned. 

Requirements:

Work Type: 

Full Time


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