Responsible for creating and facilitation training strategies/programs to support an operational team responsible for working closely with and understanding the process of abstraction and pursuit of HEDIS® measures to ensure that operational milestones, gap closures, rates, and overall successful quality standards are met. Equally responsible for all program descriptions, evaluations and workplans being created and managed year over year.
Must be able to create dashboards, use SPSS, Qualtrics or similar software programs to create appropriate analysis of monthly output/input
Work with Patient Safety to produce adhoc reports; must be a true team player and willing to go the extra mile
Handle all program descriptions, evaluations workplans and CAHPs reporting. (i.e. PD/PE & CQMP &CQMP AR).
Assist HEDIS team to facilitate and coordinate HEDIS® training, technical training understanding, and workflow processes,
Be knowledgeable of HEDIS® software training, admin and hybrid measure training and creating training materials
Coordinates training related to external client facing program; develops program success measures and performs periodic assessments of program success.
Assures compliance with corporate QI work plan.
Must be a good writer, communicator and possess the skills to get along with others.
Assures that all QI activities are relevant to the needs of targeted population.
Work collaboratively with various departments, vendors, internal/external, when necessary to leverage our resources effectively
Maintains effective 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 data analysis results.
Participates in and provides input to the development of new product designs for major line of business.
Oversees the implementation of new initiatives.
Leads interactions with regulators or oversight entities.
Oversees quality improvement activities for the largest, most complex health plan partners' programs.
Bachelors in health administration, Informatic nursing, nursing or a related clinical field required
Masters in public policy – Administration, Nursing informatics, MBA, MPH or MPA preferred
4 years of health care quality or data analysis experience.
5-7 years of HEDIS experience, or any combination of education and experience, which would provide an equivalent background that shows proficiency.
Project management knowledge with deep understanding if certification is not present preferred
Program management with at least 2 plus years of experience preferred
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.