**Hybrid Work Environment - Must reside in Hawaii **

Pay Range: $57,629 - $88,159

Note: Individuals typically begin between the minimum to middle of the pay range

Develop member and provider interventions to improve clinical quality and member experience. Coordinate efforts with HMSA's vendor partners, community resources, and internal departments to achieve excellent results in health plan ratings and pay-for-performance programs. Complete project planning, implementation and management, including independent research, analysis and communication efforts, to support these programs and related projects

• Bachelor's degree and two years of related work experience; or equivalent combination of education and related work experience.

• Demonstrated interpersonal skills; Excellent verbal and written communication skills.

• Knowledge of basic relevant statistical analyses.

• Proficiency in issues identification and data collection, analysis, and interpretation.

• Basic working knowledge of Microsoft Outlook and PowerPoint.

• Intermediate working knowledge of Microsoft Word and Excel.

• Quality Improvement Interventions Analysis and Development:
  
  • Work as part of a quality team to continuously identify, plan, develop, implement, and evaluate interventions.
  • Complete program and initiative evaluations such as return on investment and health outcomes
  • Gather and synthesize research studies, industry information, and BCBSA resources to gain insight and apply best practices to health care quality improvement strategies.
  • Conduct data analysis to support projects and interventions, including gathering data, analyzing data, and presenting recommendations.

• Program and Project Management:
  
  • Plan and implement project(s) with guidance from program managers, executive sponsors, subject matter experts, and project staff.
  • Assists in developing project plans including tasks, deliverables, and expected outcomes/goals.
  • Develop and facilitate full project documentation and reporting to meet identified goals and objectives of each project
  • Organize and lead project status and working meetings
  • Work with cross-departmental team members to facilitate communication. Prepare and provide status updates and reports to business owners, executive sponsors, partners, project teams, and others as required.
  • Assist with tracking project expenses.
  • Generate requirements, reports, and operational processes.
  • Complete program and project evaluations, including accomplishments, outcomes, barriers, and opportunities.

• Cross-Functional Integration and Communication:
  
  • Work with HMSA departments and external partners to collect and distribute information, complete tasks, facilitate communication, and provide status updates to ensure coordination among groups.
  • Communicate analysis, assessments, recommendations and completed work product by creating and delivering reports and presentations to quality committees and other internal and external stakeholders.

• Quality Improvement Program Support:
  
  • Complete work and documentation to support completion of for the annual Quality Improvement Evaluation and Workplan.
  • Support completion of required reporting and quality improvement plans.
  • Coordinate, facilitate and conduct medical record reviews to support quality activities

• Performs all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid