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Clinical Quality Program Admin - Remote or In office of California - PS10549 in Culver City, CA at Anthem, Inc.

Date Posted: 8/10/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Job Type:
  • Experience:
    At least 3 year(s)
  • Date Posted:
    8/10/2018

Job Description

Your Talent. Our Vision. At Anthem Blue Cross, a proud member of the Anthem, Inc. family of companies,  it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve. 
 
Clinical Quality Program Administrator – Remote or in office of California
 
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.
 
Primary duties may include, but are not limited to:
  • 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.
  • 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.
Qualifications:
  • 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.
  • MPH (Master of Public Health) strongly preferred.
  • Certified Professional in Healthcare Quality (CPHQ) preferred.
  • Must have excellent communication skills (written and verbal), interpersonal skills, project management and organizational skills.
  • Must have excellent PC skills (Word, Excel, Outlook)
 
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. An Equal Opportunity Employer/Disability/Veteran.