Job Description

Employment Type

Full-time

Exempt or Non-Exempt

Exempt

Job Summary

The Quality Programs Lead is responsible for leading the design, development, implementation, and evaluation of provider and community programs that support health care quality improvement for all HMSA members.

Minimum Qualifications

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

Two years of project or program management experience.

Strong working knowledge of program management.

Effective written and verbal communication.

Knowledge of health care industry trends.

Intermediate working knowledge of Microsoft Office applications: including but not limited to Word, Excel, Outlook, and Power Point

Duties and Responsibilities

• Provides oversight of work activity and staff responsible for the administration and improvement of the quality program.

• Serves as the lead for managing program priorities, resource constraints, program issues, and mitigating barriers to plan the work activity for the program and ensure timelines and deliverables are understood and achieved by staff.
• Serves as subject matter expert on the quality program and any platforms deployed and used as program tools.
• Leads the development of business requirements or statements of work necessary to support the program and program platforms.
• Ensures program documentation and reporting (e.g., program requirements, guide, workflows, decision documents, etc.) are complete and meet applicable audit and compliance requirements.
• Evaluates the program for areas of improvement (e.g., execution of quality measures, display of quality measures in program platforms, and/or adding/improving functions within the program or program platforms for ease of user experience)
• Collaborates with cross-departmental business leaders and external partners to administer mutually beneficial quality programs.

• Develops strong business partnerships with key areas throughout the organization and external partners to continually improve program performance.
• Obtains guidance from leadership, subject matter experts, industry organizations, partner health plans, etc., as needed.
• Serves as a program lead in external stakeholder (e.g., providers, hospitals, health centers, physician organizations, strategic partners and vendors, etc.) meetings and presentations.
• Effectively leads cross-departmental meetings and discussions to achieve consensus and identify actionable tasks.
• Achieves service commitments from program platforms and support functional areas to keep the quality program successfully operating.
• Provides program updates to appropriate internal stakeholders.
• Providing strategic insight into quality affairs.

• Gathers data from historical and current performance in the quality program and identify trends, issues, developments, and areas for opportunity.
• Anticipates potential impacts to current and future programs.
• Once solutions or opportunities are identified, provides a recommendation and execute the selected recommendation.
• Contributes to internal knowledge base by leading ongoing learning presentations about the quality program.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.

Hawaii Medical Service Association