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Dir Performance/Quality Improv

Location:
Job Family: Medical
Req #: PS40231
Date Posted: Oct 29, 2020

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to 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 at one of America's leading health benefits companies and a Fortune Top 50 Company.

Given Anthem’s scale, balance sheet, broad national reach and depth at the local market level, Anthem has established a new business unit called the Diversified Business Group.  The Diversified Business Group is a solutions-oriented business unit within the Company that will support Anthem and other external clients in the pursuit of transforming healthcare.

Dir Performance/Quality Improv

Location: Remote position South Central Region

Summary: Responsible for managing regional quality improvement and performance measurement projects at regional and cross-regional levels

Primary duties may include, but are not limited to:

  • Oversees quality and performance improvement projects and HEDIS activities within the region.
  • Uses QI techniques (PDSA, root cause analysis) to identify opportunities for improvement. Develops strategic intervention activities related to HEDIS and other quality measures.
  • Designs implementation and measurement plans to meet performance goals.
  • Oversees related regional quality management activities including data management, statistical analysis, and data visualization.
  • Key partner to Clinical Management team, leading planning and development of intervention, benchmarking, and monitoring toward goals.
  • Offers oversight to all performance management, leads stakeholder teams to define solutions, and drives development of action plans.
  • Assesses intervention/ implementation effectiveness in achieving regional quality goals, and against client contractual requirements.
  • Provides regular QI and performance measurement reports to leadership

Qualifications

  • Requires a MA/MS degree in a healthcare related field; 6 years of healthcare data analytics experience; or any combination of education and experience, which would provide an equivalent background. PhD preferred.
  • Ability to code in R, SAS, or other statistical program in order to evaluate effectiveness of programs and services.
  • Strong capability to think critically and synthesize data and information across disparate source

 

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veterans.
 

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