Health Outcomes & CAHPS Lead - Quality Improvement

MetroPlusHealth; New York (NY); Hybrid; USD 120,000 - 160,000; Full time

Job summary

MetroPlusHealth seeks a Health Outcomes Survey (HOS) Lead to drive quality improvement initiatives across all lines of business. You will lead and coordinate HOS/CAHPS efforts with providers, external partners, and internal teams, serving as the subject matter expert and supporting regulatory activities.

You will develop and monitor improvement strategies, prepare reports for leadership, and manage survey vendors and regulatory submissions.

Qualifications

• Bachelor's degree in analytical field (Finance, Health Care Management or related). Master’s degree a plus.
• Five to eight years' experience in any analytic field; two to three years of managed care preferred.
• Understanding of CAHPS and HOS measures with knowledge of HEDIS, QARR, Medicare Star Ratings; quality incentive programs and regulatory reporting preferred.
• Ability to manage complex regulatory projects and maintain CMS/state survey compliance.
• Knowledge of quality improvement activities such as PDSA preferred.
• Proficient with Microsoft Word, Excel, Access and PowerPoint; experience with relational databases and statistical tools (SAS or R) preferred.

Responsibilities

• Support the CAHPS Director in developing and evaluating quality improvement strategies and performance monitoring.
• For regulatory programs, focus on measures important for incentive programs with CMS and NYS DOH.
• Prepare and present HOS and CAHPS performance reports to leadership and stakeholders.
• Lead meetings with internal/external partners to achieve quality goals.
• Oversee survey vendors, deliverables, regulatory reporting and submissions.
• Monitor CAHPS and HOS results and identify opportunities to improve member experience and survey performance.
• Coordinate annual regulatory HOS and CAHPS activities ensuring CMS and NYS DOH compliance.
• Collaborate with departments and partners to implement interventions improving health outcomes and member experience.
• Participate in special projects as needed.

Skills

Analytical skills

Interpersonal communication

Problem solving

Time management

Education

Bachelor's degree in analytical field

Master's degree a plus

Tools

MS Word

MS Excel

MS Access

PowerPoint

SAS

R

Job description

MetroPlusHealth seeks a Health Outcomes Survey (HOS) Lead to drive quality improvement initiatives across all lines of business. You will lead and coordinate HOS/CAHPS efforts with providers, external partners, and internal teams, serving as the subject matter expert and supporting regulatory activities.

You will develop and monitor improvement strategies, prepare reports for leadership, and manage survey vendors and regulatory submissions.