Job Information
Elevance Health Clinical Quality Program Admin in INDIANAPOLIS, Indiana
Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance Health PulsePoint location at 220 Virginia Ave. Indianapolis, IN
Responsible for overseeing the quality improvement activities/projects as outlined in the Quality Improvement (QI) work plan and as required by applicable law, regulations and accreditation standards.
How you will make an impact:
Ensures integration of quality into the overall business process.
Performs assessments to identify gaps in the enterprises quality and technology assessment processes and initiates actions to correct these gaps.
Assures accuracy and completeness of input provided to internal and external QI committees and timely implementation of appropriate interventions.
Oversees the clinical quality improvement activities/projects to implement appropriate clinical interventions to improve the quality of care for members.
Assures compliance with corporate QI work plans.
Assures QI activities are relevant to the targeted population.
Assures compliance to Practice Guideline, Delegation and Continuity and Coordination of care Standards.
Maintains documentation of research programs to meet regulatory and Accreditation Standards.
Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of results.
May provide oversight to the Healthcare Effectiveness Data and Information Set (HEDIS) project team.
Minimum Requirements:
- Requires a BS in health administration, nursing or related clinical field; 3 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 experiences:
- Current unrestricted license or certification in applicable field preferred (i.e. CPHQ). MS in the health field (i.e. Nursing) preferred.