Job ID: J129116
Company: Gateway Health Plan
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Sep 6, 2018
The job directs and manages the Gateway Medicare/Medicaid quality performance programs, which provides oversight and guidance for the enterprise portfolio of programs and projects. Works collaboratively with multiple stakeholders and various cross-functional teams, locations and departments to improve Stars and/or quality rating outcomes for both Medicare/Medicaid products. Lead efforts to perform analysis of enterprise-wide practices to identify opportunities for improvement Designs, implements and executes strategies and work with cross-functional clinical, pharmaceutical, operational, IT and other improvement teams to ensure overall goals of the organization are met and to optimize outcomes. Collaborates with the company’s Medicare/Medicaid leadership committees to ensure that new programs and projects are aligned to divisional and corporate strategic objectives and direction. The incumbent develops and maintains the Medicare Stars and/or Medicaid program management processes, procedures and best practices and will chair the oversight governance committee to ensure all supporting areas are utilizing standard processes, tools and data standards for managing the interventions. The incumbent escalates cross-portfolio dependencies, project risks, and items for management attention to the executive leadership group.
LICENSES AND CERTIFICATION
Language (Other than English)
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Teaches / trains others regularly
Travel regularly from the office to various work sites or from site-to-site
Works primarily out-of-the office selling products/services (sales employees)
Physical work site required
Lifting: up to 10 pounds
Lifting: 10 to 25 pounds
Lifting: 25 to 50 pounds
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
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