Shire Jobs

Working Each Day to Make a Difference

At Community Health Plan of Washington, we're driven by our belief that everyone deserves access to quality health care.

More than 25 years ago, we made a commitment to improve the health of our communities by making quality health care accessible to all Washington state residents.

We continue that pledge today by providing affordable comprehensive coverage to more than 315,000 individuals and families throughout the state.

• We are a local not-for-profit health plan in Washington State.
• We are committed to keeping Washington families healthy.
• We connect our communities to the health resources they need.
• We provide access to high-quality care for our members.
• We connect and empower our members through technology.
• The Community Health Centers we partner with strive to support members with a comprehensive mix of medical resources in one convenient location.
• Our partnerships with Community Health Centers and our extended provider network help us improve the health care delivery system.

To learn more about how you can make a difference working at Community Health Plan of Washington, visitwww.chpw.org{rel="nofollow"}.

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Program Manager II, Quality Performance

Hybrid, WA

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[POSITION PURPOSE:]{.underline}

The Program Manager of Quality Performance is responsible for creation, maintenance, monitoring, and oversight of systems and processes related to the accreditation process and state and federal quality regulatory requirements; serves as Subject Matter Expert (SME) for document management, document processes, and standard document submissions; creates project management plans, writes necessary reports, ensures compliance on deliverables by business owners, and produces performance dashboards.

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[PRINCIPAL DUTIES:]{.underline}

• Accreditation and Regulatory Readiness: Ensure compliance with NCQA accreditation standards and regulatory requirements by reviewing and incorporating requirements into project plans and acting as subject matter expert and accreditation resource to internal business owners.
• Project Planning: Drives improvement initiatives throughout Quality Department specific to NCQA accreditation and additional regulatory requirements.
• Quality and Performance Review: Works with Quality Directors and Manager of Quality Performance to provide support and lend expertise to Quality Improvement committees.
• Quality Program Documents: Manages Quality Program documents, including quarterly tracking, annual revisions, and compiling reports.
• Represents Community Health Plan of Washington in Federal, Regional and State activities or visits for the purpose of regulatory audits or accreditation reviews.
• Exempt -- Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards.
• Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.

[QUALIFICATIONS:]{.underline}

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[Education]{.underline} & [Prior Related Experience]{.underline}:

 Possess a bachelor's degree in a related field, or an equivalent combination of education and highly relevant experience required.

Possess professional Project Management Professional (PMP) certification (preferred).

Have a minimum of two (2) years in a health or managed care setting involving work related to regulatory compliance and healthcare accreditat