Performance Improvement Evaluator II

CareSource Management Services LLC; Dayton (OH); Hybrid; USD 63,000 - 100,000; Full time

Job summary

CareSource in Dayton, OH is seeking a Performance Improvement Evaluator II to help implement and evaluate performance improvement and population health processes through quality improvement science.

You will support market evaluation, develop action plans based on performance metrics (HEDIS, CAHPS), and assist in creating PIPs, data analyses, and reports.

Applicants should have MPH, at least two years in program evaluation, and experience with PDSA cycles; healthcare experience is preferred.

Qualifications

• Master of public health or related field required.
• Minimum two years of program evaluation experience.
• Experience using the Model for Improvement (PDSA).
• Healthcare or managed care experience preferred.

Responsibilities

• Support market evaluation and study design using qualitative and quantitative methods.
• Develop and monitor action plans based on performance metrics.
• Create performance improvement project (PIPs) plans and monitors.
• Prepare quarterly and annual quality data analyses.
• Summarize HEDIS and CAHPS data using basic statistics and visuals.
• Produce provider profiling and stakeholder interview reports.
• Identify opportunities for improvement using evidence-based analysis.

Skills

Model for Improvement (PDSA)

Lean

Six Sigma

Data analysis

PDSA cycles documentation

Critical thinking

Communication

Education

Master of Public Health

Tools

Word

Access

Excel

Job description

Job Summary

The Performance Improvement Evaluator II assists with implementing and evaluating performance improvement and population health processes through the integration of quality improvement science.

Essential Functions

• Serves as the market support in program evaluation, study designs, and methodological techniques
• Support the market Quality Director to conduct assessments using qualitative and quantitative methodologies and continuous improvement tools to identify issues and opportunities to improve health outcomes
• Contribute to the development, implementation and monitoring of action plans based on performance metrics (State Agencies, AHRQ, HEDIS, CAHPS)
• Support the market Quality Director and market business owners in developing and monitoring Performance Improvement Projects (PIPs)
• Assist with developing quarterly and annual quality data analysis reports
• Use basic statistical techniques, graphics and data to summarize HEDIS analytical needs to measure impact of various actions/results
• Monitor and provide reports regarding, process of provider profiling, focus groups and stakeholder interviews
• Identify opportunities for improvement in performance measure and survey scores based on evidence‑based, results of quantitative and qualitative analysis
• Assist in the development of focus studies using epidemiological methodology to target population for interventions
• Conduct assessments to identify issues and opportunities using qualitative and quantitative methodologies and continuous improvement tools to improve health outcomes
• Contribute to the development of surveys, evaluation designs and facilitation guides
• Conduct process and gap analysis to diagnose process improvement opportunities and to develop re‑usable solutions using principles of process excellence and related tools
• Explore best practices across various industries to bring to the work team
• Perform any other job related instructions, as requested

Education and Experience

• Master of public health or related field degree (e.g. health promotion, evaluation etc.) is required
• Minimum of two (2) years of relevant work experience in program evaluation is required
• Experience using the model for improvement (PDSA‑Plan, Do, Study, Act) is required
• Previous healthcare or managed care experience is preferred

Competencies, Knowledge and Skills

• Proficient in Microsoft Word, Access and advanced proficiency in Excel is required
• Knowledge of a variety of quality improvement methodologies – Model for Improvement, Lean, Six Sigma
• Knowledge of establishing and documenting PDSA cycles and key driver diagrams
• Analytic skills for solving problems
• Knowledge of managed care and health care data coding is preferred
• Graphic development/presentation skills
• Familiar with descriptive statistical application and techniques
• Critical listening, thinking skills, and verbal and written communication skills
• Problem solving skills
• Excellent writing skills

Licensure and Certification

None

Working Conditions

General office environment; may be required to sit or stand for extended periods of time

Compensation Range

$62,700.00 - $100,400.00

Compensation Type (hourly/salary)

Salary

Additional Compensation and Benefits

In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Organization Level Competencies

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time.

CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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Brand=CareSource

The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference‑makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer‑centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.