Health Promo & QI Spec I

Job Title

Health Promo & QI Spec I

Duration

Open until filled

Work Hybrid

Yes

Description

Let’s do great things, together!

About ModaFounded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position SummaryWork involves collaborating across departments to plan and implement quality improvement programs, projects and interventions for Medicare, Marketplace, and Commercial products. While maintaining regulatory compliance, this work will deliver on the quadruple aim of improving member and provider experience, clinical/quality outcomes and reducing the cost of health care. This is a full-time hybrid position located in Portland, Oregon. Pay Range$51,510.72- $64,400.58 ​​​annually (depending on experience)

Please fill out an application on our company page, linked below, to be considered for this position.

https://j.brt.mv/jb.do?reqGK=27733786&refresh=true

Benefits:

• Medical, Dental, Vision, Pharmacy, Life, & Disability

• 401K- Matching

• FSA

• Employee Assistance Program

• PTO and Company Paid Holidays

Required Skills, Experience & Education:

• Bachelor’s degree required; Master’s degree (in Public Health) preferred.

• Familiar with HEDIS, CAHPS, NCQA preferred.

• Experience in project plan coordination, management, and development.

• Strong analytical, problem solving, decision making, organizational, and detail orientation skills.

• Proven project management skills: ability to track and coordinate multiple projects with extended timelines.

• Strong verbal, written and interpersonal communication skills.

• Strong literature search and literature review skills.

• Demonstrated ability to translate complex findings into clear, user-friendly, and action-oriented messages.

• Experience in a health-related field specializing in electronic medical records systems preferred.

• Self-starter with ability to propose and implement creative solutions.

• Ability to maintain confidentiality and project a professional business image.

• Proficiency in Microsoft Office, especially MS Excel and other reporting software.

Primary Functions:

• Document and report quality initiatives to appropriate internal and external stakeholders.

• Coordinate with marketing staff and vendors as needed to update, create, or purchase relevant member and provider communications.

• Facilitate project development and quality improvement initiative meetings and participate in medical quality committees and workgroups.

• Develop annual project work plans, resource allocations, and budget impacts.

• Develop, implement, and evaluate multiple independent project-deliverables required to support the Quality Improvement team.

• Oversee data collection related to health promotion and quality improvement activities.

• Monitor and report the outcomes of health promotion and quality improvement activities and program success indicators to supervisor and quality committees.

• Work as the primary point person/liaison with the clinic staff at provider practices for quality initiatives.

• Seek out and participate in professional growth and development activities.

• Operate as the subject matter expert in assigned products and programs, including quality metrics.

• Plan and assign quality activities and tasks with a variety of outside entities and a diverse work force, including leadership, operational staff, regulatory, business analysts, technical teams, marketing and finance.

• Through healthcare research, evaluations and quantitative analysis, summarize and synthesize complex data & information to identify trends & patterns, pinpoint issues and areas for improvement, and recommend solutions and next steps.

• Perform other duties as assigned.

Working Conditions & Contact with Others

• Office environment with extensive close PC and keyboard work, constant sitting, and frequent travel to Eastern Oregon. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need.​​​​​​

• Inside the company with all departments. Outside the company with community organizations, state agencies, physicians and office staff, healthcare associations and pharmaceutical representatives.

Together, we can be more. We can be better. ​​​​​​Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our humanresources@modahealth.com email.