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Clinical Quality Program Consultant/Manager/DirectorLocation: United StatesNewRequisition #: PS29651Your Talent. Our Vision. At Anthem, Inc., it’s a
powerful combination, and the foundation upon which we’re creating greater access
to care for our members, greater value for our customers, and greater health
for our communities. Join us and together we will drive the future of healthcare .This is an exceptional opportunity to do innovative work that
means more to you and those we serve at one of America's leading health
benefits companies and a Fortune Top 50 Company.Remote position - must live within close proximity to 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:
Leadsenterprise-wide quality strategy meetings, with an emphasis on Medicaid CAHPSstrategies
Developsand facilitates the integration of a national quality plan. Identifies andintegrates best practices into state programs.
Developsperformance improvement plans and oversees the clinical quality improvementactivities/projects.
Participatesin the development, management, review and reporting of program outcomes forclinical quality programs.
Assurescompliance with corporate Quality Improvement work plans.
Ensuresresearch program documentation meets regulatory and Accreditation Standards.
Supportsquantitative analysis of annual CAHPS survey data.
Leadsdepartment projects and mentors staff.
Preparesand presents program documents to senior management.
Requires a BS in health administration, nursing or a related clinical field; 3-5 years of health care quality or 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.
Anthem, Inc. is ranked as one of America’sMost Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityIncmagazine Top 50 Company for Diversity. To learn more about our company andapply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.
