Job Summary
Under minimal supervision, the QI Project Manager is responsible for the development, coordination, and implementation of the NCQA accreditation work plan for the Commercial and Medicare lines of business at Denver Health Medical Plan. Develops and implements comprehensive project plans to analyze additional lines of business, participates and manages other related projects. The incumbent will utilize strong analytical, project management, process improvement, team building and communication/presentation skills to support the analytical and reporting functions of the QI Department. The Project Manager collaborates closely with Information Systems, Provider Relations & Contracting, Medical Management, and other departments of the Plan to develop, implement, and evaluate effective data queries, provide management analysis and reporting activities related to a variety of projects.
Education:
Bachelor's degree in business or healthcare related field, or equivalent work experience.
Experience:
Typically, five to seven years of project management, process improvement or administrative experience in healthcare or a related field. Managed care, health insurance, and NCQA accreditation experience is highly preferred.
Knowledge, Skills & Abilities:
Demonstrated ability to develop, oversee, and monitor projects. Demonstrated experience with evaluating NCQA quality standards, reviewing accreditation, and analyzing quality improvement processes. Able to manage multiple projects. Able to summarize detailed information in an organized and concise manner. Excellent communication and presentation skills. Strong organizational management, team building and data analysis skills. Builds and maintains strong working relationships with internal and external stakeholders. Demonstrated strong problem solving skills, keen analytic abilities and solid writing and presentation skills. Skilled in Microsoft Office, including Word, Excel, PowerPoint. Experience with using complex systems to extract data from various databases and manipulate large data using SQL, SAS, SPSS, or application specific query tools. Able to work independently and collaboratively under pressure with other internal and external team members to ensure critical timelines are met. Acts as a resource for clinical, operations, system, and various administrative questions. ~Project Management Professional (PMP) certification desirable, but not required. All Certifications and Licenses required for this job must be kept current as a condition of continued employment.
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, efficient, high-quality academic health care system that is considered a model for the nation. The Denver Health system includes the Rocky Mountain Regional Level I Trauma Center, a 525-bed acute care medical center, Denver's 911 emergency medical response system, 8 family health centers, 15 school-based health centers, the Rocky Mountain Poison and Drug Center, the Denver Public Health Department, an HMO, and The Denver Health Foundation.
As Colorado's primary safety net institution, Denver Health is a mission-driven organization that has provided more than $3.3 billion in care for the uninsured in the last ten years. Denver Health is a leader in performance and quality improvements and remains financially secure, in part, due to its nationally recognized implementation of lean principles in healthcare. Denver Health is a major resource to the community, serving approximately 185,000 individuals and 67,000 children a year.
Located just south of downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).
"Denver Health is committed to provide equal treatment and equal employment opportunities to all applicants and employees. Denver Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class."
