Quality Initiatives Project Manager

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 277,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 45 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare.

SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.

Job Description:

The Job

The Project Manager for the Star Quality Team plays a critical role in advancingSCAN's mission to deliver high quality, equitable, and cost-effective care to our members. This individualwill lead cross functional projects that improve provider/network quality performance, drive both clinical
and operational quality and/or population health programs and align network operations with strategicclinical goals.

Position supports the Star Clinical Quality Team, Network Quality and HealthCare Informatics in activitiesrelated to project management, quality improvement, and measure performance reporting.

You Will

Facilitate workgroups, meetings, and presentations with committees, departments and workgroupmeetings to support strategic planning, business case development, and change managementefforts tied to clinical innovation & network transformation

Support the design, implementation, and results of both internal and network quality initiatives suchas incentive programs, performance improvement plans, and quality reporting

Track, maintain performance metrics and key performance indicators (KPI) related to networkquality (HEDIS, STARS, CAHPS, utilization trends and use insights to drive continuousimprovement

Identify opportunities, actionable insights, barriers & risks of STAR quality programs or interventionswhile providing recommendations related to Star Quality interventions and programs (HEDIS gapsin care, pharmacy, transitions of care, care coordination and member experience).

Collaborate with internal stakeholders (e.g. analytics, network, care management, pharmacy) andexternal stakeholders (e.g. providers, and health systems)

Develop & maintain detailed project plans, status reports, issue/risk logs, and documentation toensure transparency & accountability both internally & externally

Support the development of member and provider educational materials to support performance onkey quality measures

We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

Actively support the achievement of SCAN's Vision and Goals.

Other duties as assigned.

Your Qualifications

Bachelor's Degree or equivalent experience preferred.

PMP preferred.

3+ years' experience in Health Care / Managed Care or related field required.

3+ years' experience in Project Management required. 5+ years' experience in Project Managementpreferred.

Leadership - Skilled to develops others

Problem Solving - Good problem-solving skills

Communication - Good communication and interpersonal skills

Demonstrated flexibility, ability to multi-task and facilitate cross functional teams.

Strong analytical, critical thinking and problem-solving skills.

Ability to demonstrate leadership capabilities.

Strong interpersonal skills.

Strong verbal and written skills with the ability to express ideas in a clear and organized manner.

Strong organizational and time management skills to efficiently handle multiple projects withchanging priorities.

Advanced / expert skills with MS Project. Familiar with Visio.

What's in it for you?

• Base salary range: $92,400 to $133,671 per year
• Internal title
• Work Mode
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match and contribution
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)