Quality Improvement Facilitator II

Overview

What you can expect! 

 

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

 

Reporting to department leadership with minimal supervision, the Quality Improvement (QI) Facilitator II works closely with front line leaders, external partners, and organizational teams to plan, organize, facilitate, and lead quality improvement projects.  The QI Facilitator II has a strong understanding of IEHP’s strategic priorities and organizational goals and supports these goals through the development and implementation of QI program activities.  The QI Facilitator II will skillfully use techniques of system design, project management, continuous quality improvement (e.g., brainstorming, cause and effect analysis, root cause analysis), outcomes measurements, and data analysis to support the development, implementation, and oversight of QI programs. 

 

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits

Perks

 

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

• Competitive salary
• State of the art fitness center on-site
• Medical Insurance with Dental and Vision
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development
• Wellness programs that promote a healthy work-life balance
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

Key Responsibilities

Lead the facilitation for all levels of IEHP staff, hospital teams, and workgroups in the development and implementation of performance improvement initiatives related to successes in reaching established goals.

Oversee and monitor the development, implementation, and outcomes of quality improvement programs.

Prepare and present regulatory and committee, and other reports summarizing QI initiatives and the success and/or progress in reaching established goals.

Apply and teach standardized QI concepts and techniques to achieve established quality goals for both internally and externally developed quality improvement programs.

Lead and support ongoing development of shared organizational and external stakeholders’ quality improvement infrastructure including system design, identification of organizational QI initiatives, tracking of project evaluations/studies, tools, and resources for project monitoring.

Utilize subject matter expertise to assess and identify quality gaps and opportunities, facilitate quality improvement initiatives within the organization, and ensure timely project completion and expected outcomes.

Translate data into meaningful information, draws conclusions, and relates findings to industry standards.  Provides recommendations to departmental stakeholders and QI Leadership Team regarding performance gaps, program implementation, and performance outcomes in order to maintain an effective QI Program

Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

Qualifications

Education & Requirements 

• Minimum of four (4) years demonstrated experience requierd, at a professional level, in process/project management including participation in quality improvement projects or operations
  • Prior experience in the health care setting preferred
• Master’s degree (preferably in Public Health, Health Administration, Public Administration, or other healthcare related focus) from an accredited institution required
  • Project Management Professional (PMP) Certification, Certified Professional of Healthcare Quality (CPHQ), or other recognized quality improvement certificate preferred

 

Key Qualifications

• Strong working knowledge of:
  • Healthcare quality performance and measurement sets including CMS quality withhold, Managed Care Accountability Set, NCQA Quality Improvement Standards and HEDIS
  • Project management techniques, tools of continuous improvement, and work process redesign
  • Standard coding sets used in quality measurement including ICD-10, CPT, CPT Category II, HCPCS, LOINC, NDC
• Strong analytical and critical thinking ski