CCO Quality Metrics Program Manager

Job description

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Lead the development, implementation, and management oversight of the company's Coordinated Care Organization (CCO) Quality Incentive Measures (QIM) program. Facilitate multi-disciplinary teams to develop aligned strategies, share best practices, and remain up to date on Oregon Health Authority (OHA) policies, metric specifications, and changes to the CCO QIM program across all regions. Collaborate extensively with internal and external stakeholders (e.g. Population Health, Health Services, Provider Network, Operations, Analytics, Regional and Line of Business leaders) as well as other identified stakeholders, to address all aspects of QIM performance. This position requires fluency with CCO QIMs, including metric specifications, calculations and data sources, as well as the ability to interpret complex data to inform quality improvement strategies. Essential Responsibilities: * Lead, develop, and implement CCO QIM multi-year work plans to support continuous quality improvement and achieve strategic goals. * Collaborate with and work cross functionally to influence, lead, and promote change that drive continuous quality performance improvement. * Accountable for ensuring responsible parties are improving QIM performance both internally and externally. * Oversee metric data flow and ongoing monitoring of performance across quality measures. * Analyze data to understand patterns in performance and variations across populations that can support quality improvement efforts and equity-focused strategies. * Identify and implement strategic and tactical internal and community initiatives aimed at maximizing member outcomes and QIM results across all PacificSource CCO regions. * Serve as a core resource and point of contact for internal and external partners, including the OHA, applying in depth understanding of specifications, data sources and other key aspects of the CCO QIM program across all regions. This include To view the full job description please use the link below. https://www.aplitrak.com/?adid=YmJnZW5lcmljLjE0MTI4Ljg3NjRAcGFjaWZpY3NvdXJjZWNvbXAuYXBsaXRyYWsuY29t