Strategic Healthcare Quality Improvement Program Manager

Blue Cross of Idaho; Meridian (ID); Presencial; USD 78.000 - 117.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Paid time off

Paid holidays

401(k) matching

Life insurance

Disability insurance

Education reimbursement

Employee assistance plan

Descripción de la vacante

Blue Cross of Idaho is seeking a Healthcare Operations professional to support quality and clinical improvement across product lines. You will coordinate cross-functional workgroups, manage vendor partnerships, and oversee contracting activities to drive program success.

The role emphasizes collaboration, data-driven improvement, and oversight of vendor deliverables. A Bachelor’s degree or equivalent experience is required, with a minimum of 5 years in healthcare or related fields.

Formación

• 5 years healthcare field or relevant experience.
• Bachelor’s Degree or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college)
• Experience coordinating with vendors, contracting activities, and quality programs.

Responsabilidades

• Collaborate with cross-functional teams, vendors, and business partners to organize efforts and workgroups targeted at quality improvement, member outreach, provider support, clinical improvement, and related program activities.
• Coordinate vendor and contracting activities supporting quality programs, including gathering business requirements, RFPs or services, contract renewals and amendments, and implementation of approved services in partnership with Procurement and other internal stakeholders.
• Support ongoing management of quality vendors by monitoring contractual deliverables, service commitments, timelines, issues, and program performance, and coordinating follow-up with internal and external stakeholders.
• Identify, prioritize, sequence, and recommend initiatives for HEDIS measure improvement for each line of business, considering cost and ROI.
• Identify opportunities for quality and operational improvement using annual, prospective, vendor, and program data sources.
• Coordinate implementation of approved quality initiatives and vendor-supported programs, including workplans, timelines, business requirements, and stakeholder coordination.
• Track program, project, and vendor outcomes and present conclusions, risks, recommendations, and opportunities to leadership.
• Support departmental planning and oversight of vendor services, including contract requirements, renewals, invoices, budgets, and anticipated program needs.
• Coordinate and support cross-functional efforts to develop and implement improvement plans and operational solutions for all applicable lines of business.
• Present program results, analysis, status, risks, and recommendations to management, steering committees, vendors, and impacted work teams.
• Ensure documentation of improvement plans, vendor activities, contractual deliverables, decisions, and program outcomes.
• Perform other duties and responsibilities as assigned.

Conocimientos

Healthcare experience

Vendor coordination

Contracting activities

Quality improvement

Cross-functional collaboration

Project management

Educación

Bachelor's degree or equivalent

Descripción del empleo

Blue Cross of Idaho is seeking a Healthcare Operations professional to support quality and clinical improvement across product lines. You will coordinate cross-functional workgroups, manage vendor partnerships, and oversee contracting activities to drive program success.

The role emphasizes collaboration, data-driven improvement, and oversight of vendor deliverables. A Bachelor’s degree or equivalent experience is required, with a minimum of 5 years in healthcare or related fields.