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Improves quality products and services by using measurement and analysis to process, evaluate, and make recommendations to meet objectives.
Coordinates the plan's prevention and wellness activities specifically designed to promote the importance and benefits of accessing timely preventive and well care through targeted member/provider education and outreach initiatives.
Participates in the development and ongoing implementation of QM work plan activities.
This position may also include community outreach and public relations activities, as assigned.
Assists with establishing and implementing results-based programs and innovative initiatives for the Prevention & Wellness area, under general supervision.
Applies in-depth knowledge of the Prevention & Wellness field to offer feedback for decisions and innovation strategies that enhance organizational growth and visibility.
Develops, implements, and assures the ongoing coordination of designated prevention and wellness activities outlined within the quality improvement and work plan.
Evaluates, analyzes, reports on and records outcomes of the scheduled prevention and wellness interventions.
Organizes special or pilot health education interventions to target specific population initiatives.
Monitors overall performance against state and federal standards for health education and preventative care and recommending options for improving performance.
Elevate all significant issues/concerns to the Quality Manager as appropriate
Identifies potential resources and initiates collaboration with providers/ members to improve member health outcomes and HEDIS measures
Produces and distributes quarterly community newsletters.
Coaches more junior colleagues in techniques, processes, and responsibilities.
Performs other duties as required.
Requirements:
Must reside in Oklahoma
3+ years of recent and related program management, outreach, and/or health education experience in a healthcare setting.
Ability to envision and propose new methods to perform tasks; take thoughtful risks; and accept new and ongoing initiatives, objectives, and solutions to gain sought-after results.
Ability to anticipate and embrace change; demonstrate willingness to achieve, acquire, and utilize new skills and challenging tasks; and is flexible in changing conditions.
Ability to engage positively with multiple groups and various stakeholders.
Working knowledge of execution and delivery (planning, delivering, and supporting) skills
Working knowledge of business intelligence
Ability to execute tasks with strong attention to detail
Ability to work independently
Must have strong oral and written communication skills
Strong organizational and interpersonal skills, and must be able to always maintain a high degree of confidentiality
Ability to work with ethnically, culturally, and socially diverse members.
2+ years’ experience using personal computers, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
Must possess reliable transportation and be willing and able to travel up to 25% in-state, based on business needs. Mileage is reimbursed per our company expense reimbursement policy.
