Quality Performance Team Lead

Role Overview

This position will be responsible for the oversight, design, and implementation of Quality projects ensuring identification of root cause, and with the assistance of the Quality Director establishes a work plan to implement interventions. This position will work in a collaborative manner with all providers, members, departments within Select Health and the AmeriHealth Caritas Family of Companies to conduct ongoing process and data review to identify opportunities for improvement. The Quality Performance Team Lead will be responsible for leading the development and implementation of interventions aimed at improving Service and Clinical Operation performance by:

The Quality Performance Team Lead will manage the plan’s accreditation, preventive health improvement, business analysis and clinical/service quality improvement (including State Withholds, HEDIS and CAHPS).  In addition to established a quality improvement philosophy throughout the organization and promotes the use of QI tools in decision-making.  

Work Arrangement

• Remote role
• Monday through Friday 8:00a EST to 5:00p EST

Responsibilities

• Performs ad-hoc analysis of any underperforming or “broken” processes by collaborating with Subject Matter Experts and/or Customers to define existing processes and make recommendations for improvement
• Uses data and analysis tools to identify opportunities for improved performance and collaborates with peers to develop intervention strategies
• Removes barriers to achieve successful completion of strategic projects.
• Conducts analysis and provides summary reports and analysis to senior management

Education and Experience

• Bachelor’s Degree in a health related field required or the equivalent education and work experience.
• Minimum of 3 years of management experience in Quality Improvement.
• Minimum of 10 years of advancing and progressive high level responsibilities and experience in health related positions 
• Experience working directly for a managed care organization required

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. 

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.