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POSITION SUMMARY

Supportive of NY State deliverables, QAPI Program and regulatory standards. Processes and evaluates complex data and information sets in the development of strategic solutions to business issues and initiatives through direction setting and project management work. Responsibilities include assimilating information to proactively develop quality activities aligned with program goals and objectives; linking the quality management activities to business goals; advance business objectives by supporting and connecting diverse teams, fostering productive partner relationships, and applying deep quality expertise to help teams translate quality insights into business strategy.

REQUIRED QUALIFICATIONS

• 5+ years of progressive experience in a regulatory environment and/or quality management
• At least 5+ years of managed care experience
• Bachelor’s degree or equivalent managed care experience

PREFERRED QUALIFICATIONS

• Project Management skills and proficiency
• Proficiency with Microsoft Office Suite applications and other common computer and office software

• Assist in making business decisions based on the results of research and data analysis
• Leads cross functional teams to assist the health plan departments in integrating quality into their strategic and operational plan
• Evaluates and prioritizes recommendations for quality improvement to senior health plan management
• Develops and implements the infrastructure of the QM program and patient safety strategy
• Directs/provides enhancements to business processes, policies, and infrastructure to improve operational efficiency across the organization
• Influences department business owners and leaders to reach solutions to meet the needs of stakeholders, internal and external
• Provides comprehensive analysis of state PIP’s, barriers, and opportunities and presents results of improvement efforts and ongoing performance measures to plan management
• In partnership with business owners, supports design/development of new or enhanced Long Term Care products and services