Anthem Clinical Quality Program Director-131843 in Montebello, California
Anthem, Inc. is one of the nation's leading health benefits companies and a Fortune Top 50 company. At Anthem, Inc., we are working together to transform health care with trusted and caring solutions. Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine.* *
Position must be located near an Anthem office.
Responsible for developing a national quality improvement strategy for a major line of business. Primary duties may include, but are not limited to: Leads enterprise-wide quality strategy meetings. Develops and facilitates the integration of a national quality plan. Identifies and integrates best practices into state programs. Develops performance improvement plans and oversees the clinical quality improvement activities/projects. Participates in the development, management, review and reporting of program outcomes for clinical quality programs. Assures compliance with corporate Quality Improvement work plans. Assures accurate and complete quantitative analysis of clinical data. Leads department projects and mentors staff. Prepares and presents program documents to senior management.
Requires a BS in health administration, nursing or a related clinical field; 5 years of health care quality data analysis experience; or an equivalent combination of education and experience, which would provide an equivalent background. Current unrestricted license or certification in an applicable field (i.e. CPHQ) or MS in the health field (i.e. Nursing) preferred. Knowledge of state or assigned line of business needs and priority improvement areas required. Experience with
NCQA or other accrediting or regulatory standards and HEDIS/CAHPS knowledge and experience are required. Experience with clinical quality strategies preferred.
/ Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran. /
Title: Clinical Quality Program Director-131843
Requisition ID: 131843