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Job Title: Performance Improvement Evaluator III
Job Number: R4042
Organization: CareSource
Posted: 6/16/2022
Type: Full-Time
Classification: Public Health - General
Industry: Non Profit / NGO
Number of Openings: 1
Location: Must reside in the state of GA,      USA
Position Description: Job Summary:

The Performance Improvement Evaluator III leads, implements, and evaluates performance improvement and population health processes through the integration of quality improvement science. This is full-time remote position; but will need to reside in the state of Georgia.

Essential Functions:

-Serve as the market professional expert for program evaluation, study designs, and methodological techniques -Support market Quality Director to conduct assessments using qualitative and quantitative methodologies and continuous improvement tools to identify issues and opportunities to improve health outcomes -Contribute to the development, implementation and monitoring of action plans based on performance metrics (State Agencies, AHRQ, HEDIS, CAHPS) -Support the market Quality Director and market business owners in developing and monitoring Performance Improvement Projects (PIPs) -Develop quarterly and annual quality data analysis reports -Use statistical techniques, graphics and data to summarize HEDIS analytical needs to measure impact of various actions/results Monitor and provide reports regarding, process of provider profiling, focus groups and stakeholder interviews -Identify opportunities for improvement in performance measure and survey scores based on evidence-based, results of quantitative and qualitative analysis -Assist in the development of focus studies using epidemiological methodology to target population for interventions -Conduct assessments to identify issues and opportunities using qualitative and quantitative methodologies and continuous improvement tools to improve health outcomes -Contribute to the development of surveys, evaluation designs and facilitation guides -Conduct process and gap analysis to diagnose process improvement opportunities and to develop re-usable solutions using principles of process excellence and related tools -Explore best practices across various industries to bring to the work team Perform any other job related instructions, as requested

Qualifications: Education and Experience:

-Master of public health or related field degree (e.g. health promotion, evaluation etc.) is required -Minimum of five (5) years of relevant work experience in program evaluation is required -Experience using the model for improvement (PDSA-Plan, Do, Study, Act) is required -Education or work experience in maternal and child health or chronic conditions is preferred -Previous healthcare or managed care experience is preferred

Competencies, Knowledge and Skills:

-Proficient in Microsoft Word, Access and advanced proficiency in Excel is required -Knowledge of a variety of quality improvement methodologies – Model for Improvement, Lean, Six Sigma -Knowledge of establishing and documenting PDSA cycles and key driver diagrams -Analytic skills for solving problems -Knowledge of managed care and health care data coding is preferred -Graphic development/presentation skills Familiar with descriptive statistical application and techniques -Critical listening, thinking skills, and verbal and written communication skills -Problem solving skills -Excellent writing skills

Licensure and Certification: None

Organization Description: CareSource is a multistate health plan recognized as a national leader in managed care. Founded in 1989, CareSource administers one of the nation’s largest Medicaid managed care plans and offers a lifetime of access to care through health insurance, including Medicaid, Health Insurance Marketplace, Medicare Advantage and dual-eligible programs.

Headquartered in Dayton, Ohio, CareSource serves nearly 2 million members in Georgia, Indiana, Kentucky, Ohio and West Virginia. CareSource understands the challenges consumers face navigating the health system and is transforming health care with industry-leading programs that improve the health and well-being of our members.

We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each decision is a chance to change the world for one member, and our employees look for ways to do that every day.

Closing Date: 9/16/2022
Desired Starting Date:
Contact Name: Susan Doud,  Performance Improvement Evaluator III
Contact Location: 230 N. Main St.

Dayton   OH  45402
United States
Contact Location: 230 N. Main St.
  Dayton   OH  45402
  United States
Contact Phone: 937-305-7370 
Contact Fax:
Contact Email:
Web Address:
How to Apply: Apply at external job site: s/performance-improvement-evaluator- iii/da51d43c-7671-438d-9822-6e588e987b1f

Additional Information:

Web Site Delete Date: 9/16/2022