Program Manager, Quality Improvement

By | December 15, 2022

Program Manager, Quality Improvement

Program Manager, Quality Improvement

Primary Location Portland, Oregon

Job Number 1133491

Date posted 11/29/2022

 

Description:

Job Summary:
Assume the role of Regional Quality Improvement Program Manager for KPNW. Assure compliance with CMS contractual and regulatory requirements for quality improvement at both the federal and state levels, as well as with other accreditation and regulatory agencies, by providing planning, leadership, and management of health plan quality assessment and performance improvement (QAPI) activities. Review and assess the success of regional QI projects and programs aimed at enhancing KFHP members’ health and safety. assist in performance improvement by trending and analyzing data from clinical data, occurrence reports, satisfaction surveys, and usage statistics. Together with leaders in KFHP, KFH, and NWP quality and service improvement, identify, launch, and promote the effective completion of performance improvement programs.

Significant Duties:

Use the proper performance improvement models, processes, and tools to address opportunities under the purview of KFHP Quality and Service and NWP Quality and Systems while managing and facilitating a portfolio of multidisciplinary projects and initiatives throughout the area. These initiatives are intricate, diverse, and very visible for the organization in terms of compensation for performance and reputation. Determine organizational risk or the impact of performance gaps or noncompliance and communicate it to department and organizational leaders. Recommend regional strategies for improvement or resolution to the department and organizational leaders, using innovative systems thinking and evidence-based strategies when possible.

Serve as a consultant and facilitator when putting improvement initiatives and plans into practice; make sure projects are adequately planned and organized to produce outcomes while preserving the ownership of the processes by operational or business executives. To meet regulatory and accrediting standards as well as to inform KPNW senior leaders, perform sophisticated problem-solving and systems analysis, build process and outcome measures of effectiveness, document efforts and results, and create/submit reports. Promote understanding and agreement among stakeholders at all levels of the company, successfully influence without formal authority, and negotiate for the resources required to remove obstacles to improvement or program effectiveness.

Prepare and submit documentation proving adherence to internal and external regulatory requirements as well as accreditation standards. Also, prepare materials and reports for audits and provide appropriate corrective action plans in response to audit findings, making sure these are built to be successfully implemented and maintained. Assume the role of content and subject matter expert for a number of quality-related Medicare contract requirements, such as value-based incentive schemes and patient safety event reporting and billing procedures.

Work together on improvement initiatives with regional and Kaiser Permanente Program Office partners. Organize the region’s efforts to work together on optional or required projects with community health partners (state and federal offices, and quality improvement organizations, or QIO).

In order to achieve program excellence, work with medical professionals, managers, directors, professional staff, and senior leaders to identify best practices and design, measure, and put into effect appropriate solutions.

Work together with supervisors, colleagues, and the KP corporate program office to develop and document the comprehensive KPNW Quality Program, which is distributed to both internal and external audiences, including members, brokers, regulatory and accreditation organizations, and the KFH and KFHP Boards of Directors.

 

Read also employees expected conduct for this job

 

Basic Qualifications:
Experience
  • Minimum five (5) years of health care management experience in a health plan, hospital or ambulatory setting.
  • Minimum one (1) year of experience in quality, regulatory or accreditation management, or patient safety in a health care organization.
  • Experience with developing quality improvement projects.
Education
  • Bachelor’s degree in a healthcare-related discipline.
License, Certification, Registration
  • N/A

 

  • Working understanding of quality and patient safety principles is an
  • Knowledge of strategies, tools, and principles for continuous quality improvement.
  • The capacity to gather, examine, present, and report statistically significant performance data; competence with Microsoft Office
  • Outstanding verbal and written communication abilities.
  • Ability to solve problems analytically that result in successful process and system improvement.
  • Excellent performance and experience in process planning, performance improvement, and project management.
  • Ability to communicate well in writing and public speaking to a variety of audiences both inside and outside the region in order to offer high-quality performance information.

 

 

Preferred Qualifications:
  • Minimum five (5) years of health care management experience in a hospital or managed care ambulatory setting.
  • Minimum two (2) years of experience in quality, regulatory or accreditation management, or patient safety in a healthcare organization.
  • CPHQ certification (Certified Professional in Health Care Quality).
  • Master’s degree in public health, healthcare administration, or another healthcare-related discipline.

Primary Location: Oregon, Portland, Kaiser Permanente Building

Scheduled Weekly Hours: 40

Shift: Day

Workdays: Mon, Tue, Wed, Thu, Fri

Working Hours Start: 08:00 AM

Working Hours End: 04:00 PM

Job Schedule: Full-time

Job Type: Standard

Employee Status: Regular

Employee Group/Union Affiliation: NUE-NW-01|NUE|Non Union Employee

Job Level: Individual Contributor

Department: Kaiser Permanente Building – Hosp Adm-Risk Mgmt&Pat Safety – 1008

Travel: Yes, 10 % of the Time

 

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