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Manager, Health Plan Quality Management

Davita Inc.

Denver (CO)

Remote

USD 82,000 - 121,000

Full time

Today
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Job summary

A leading healthcare company is seeking a Program Manager for Health Plan Quality Management. This remote role involves collaborating across teams to improve clinical quality outcomes and requires strong project management skills. Ideal candidates will have healthcare experience and a passion for driving change in value-based care.

Benefits

Comprehensive benefits
401(k) match
Paid time off
Professional development programs

Qualifications

  • 4+ years healthcare, strategy, or project management experience.
  • Recent dialysis clinic experience required.

Responsibilities

  • Drive critical clinical quality measures for patients.
  • Develop communications to support the clinical strategy.
  • Conduct data analysis and respond to field requests.

Skills

Collaboration
Communication
Project Management

Education

RN
CCHT

Job description

Posting Date

05/16/20252000 16th St,Denver,Colorado,80202-5117,United States of America

We are currently seeking a PROGRAM MANAGER, HEALTH PLAN QUALITY MANAGEMENT to join the DaVita Health Plan Quality Management team & lead the management process for our payer quality metrics.

At DaVita, we find that our best leaders are those who create an inspiring vision for the future & empower their team to achieve success! They take ownership over results & instill accountability in those they lead. Our best leaders enjoy tackling & solving difficult problems through collaborative, team efforts.

If you're a driven strong relationship builder, and communicator, who finds real fulfillment in challenging work, keep reading!!!!

The Program Manager, Health Plan Quality Management partners with our dialysis clinics, DaVita Kidney Care (DKC) leadership and SDCS, DCS, MCS & Palmer Leads, to centrally support the delivery of dialysis-related interventions for our Kidney Care patients.

The Program Manager, Health Plan Quality Management is responsible for providing subject matter expertise and developing adaptable processes to drive results in our key quality measures, including Central Venous Catheter (CVC) rates and Adequacy (Kt/V).

LOCATION:

  • REMOTE

  • Must reside in MST

  • Less than 25% annual travel

To be successful in this role, the Program Manager, Health Plan Quality Management demonstrates the ability to collaborate cross-functionally across DKC and IKC, with both clinical and non-clinical teammates. This position will function autonomously, which requires strong project management experience, communication skills and a high level of motivation to drive success. This is a Remote position, requiring the teammate to function independently and with high integrity & accountability.

The successful Program Manager, Health Plan Quality Management will bring a blend of innovative strategic thinking and operational execution, coupled with a mission-driven pursuit of advancing healthcare's evolution to value-based care. This teammate will work on a team of highly motivated individuals with consulting, process engineering, change management, and/or clinical experience.

KEY RESPONSIBILITIES of the PROGRAM MANAGER, HEALTH PLAN QUALITY MANAGEMENT:

  • Subject matter expertise in CVC removal process and Adequacy management.

  • Clinical Operations and Strategy.

  • Collaborate with key teams across the Village, to drive critical clinical quality measures for patients.This is a significant effort that requires a highly collaborative individual with strong skills in project management and communication, as well as the ability to drive work across a number of cross-functional stakeholders.

  • Partner closely with Clinical Services team to understand their needs and support, as required, to meet quality measure goals.

  • Develop communications to support the clinical strategy.

  • Special Projects & Innovation.

  • Serve as a thought leader, nimble enough to navigate multiple projects, and contribute in a meaningful way.

  • Data analysis.

  • Ability to understand complex eligibility rules and help to propel prioritization of focus.

  • Responds to field requests for data analysis assistance as needed.

QUALIFICATIONS of the PROGRAM MANAGER, HEALTH PLAN QUALITY MANAGEMENT:

  • 4+ years healthcare, strategy, or project management experience

  • RN, CCHT or equivalent experience required

  • Proven track record of being highly collaborative with the ability to impact change and improve clinical quality outcomes

  • Recent dialysis clinic experience required and/or an understanding of current DKC systems and operations (i.e., CWOW, Reggie, etc.)

  • Ability to analyze and interpret data

  • Strong project / time management skills and ability to operate independently

  • Demonstrated experience and/or interest in healthcare delivery

  • Strong interpersonal and presentation skills preferred

What We'll Provide

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

* Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out

* Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more

* Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform Star Learning.

#LI-TS2

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

Salary/ Wage Range

$82,000.00-$121,000.00 / year

For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

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