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CareOregon Quality Metrics Program Manager in Portland, Oregon

Position Title: Quality Metrics Program Manager

Department: Quality Improvement

Title of Manager: Chief Quality Officer

Supervises: Non-supervisory Position

Employment Status: Exempt

Requisition: 16536

General Statement of Duties

This position is responsible for overseeing all aspects of the CCO’s Quality Metrics Program. The position serves as a primary contact for Health Share’s partners and participates with communicating key performance and programmatic information to internal and external stakeholders. This position convenes groups to develop aligned strategies and share best practices and remains up to date on OHA policies and changes to the CCO metrics program. The position requires fluency with CCO quality metrics, including metric specifications, calculations and data sources, as well as significant fluency with data that drives quality improvement. The position may lead staff related to specific metric-focused initiatives as needed.

Essential Position Functions

Program Management

  • Oversee metric data flow and ongoing monitoring of performance across quality measures.

  • In-depth understanding of metric specifications and data sources to serve as resource to internal and external partners.

  • Analyze data to understand patterns in performance and variations across populations that can support quality improvement efforts and equity-focused strategies.

  • Serve as primary contact for OHA around the metrics program and maintain in-depth knowledge of program requirements and developments.

  • Participation in statewide workgroups, advisory groups, learning collaboratives and committee meetings to stay informed on metric program development and learn about best practices.

  • Serve as internal liaison to connect transformation, equity, communications and compliance work to current metric strategies.

  • Serve as liaison with Information Services team to translate partner data needs into routine metrics reports and analyses.

  • Oversee the Quality Metrics policy and procedure that governs how incentive funds are earned and distributed.

  • Manage final performance calculations to support Finance team in distribution of incentive funds to partners.

  • Provide peer leadership and act as a technical information resource

  • Maintain data for regular reports related to Quality Metrics Program

Communication

  • Run and provide routine reporting on current metric performance to a broad audience.

  • Alert stakeholders when performance indicates risk of not meeting improvement targets and building consensus around a collective strategy.

  • Interpret and disseminate information regarding changes to the metric program, including impacts to current workflows, strategy and policy.

  • Advocate on behalf of partners to OHA and decision-making bodies around adaptions to the metric program and changes to the metrics themselves.

  • Promote opportunities for participation in metric-focused technical assistance offered by OHA or other organizations.

Facilitation

  • Plan and facilitate routine metrics workgroups that discuss population data, best practices, opportunities for collaboration and alignment in data collection and calculation.

  • Convene stakeholders and build consensus around annual metric strategies and priorities.

  • Guide stakeholders through development of policy and procedure for distribution of incentive funds that optimally motivates quality improvement efforts.

  • Routinely inform internal leadership and governing bodies about current metric performance, strategy and program developments.

  • Gather input from partners about what data and resources are needed to support performance improvement work.

Essential Department and Organizational Functions

  • Propose and implement process improvements.

  • Meet deadlines for completion of workload.

  • Maintain agreed upon work schedule.

  • Demonstrate cooperation and teamwork.

  • Provide cross-training on specific job responsibilities.

  • Meet identified business goals that contribute to departmental goals.

  • Perform other duties as needed.

Knowledge, Skills, and Abilities Required

  • Proven ability to analyze, synthesize, contextualize and present data

  • Ability to learn, retain and disseminate detailed information

  • Excellent verbal and written communication skills including the ability to persuade, influence, negotiate and make formal presentations

  • Adept at utilizing approaches to achieve consensus, manage change, and influence others

  • Ability to work effectively with diverse internal and external stakeholders

  • Ability to adapt and reframe perspectives, showing flexibility in thinking, openness of mind and readiness for frequent change

  • Innate curiosity and the desire to seek out new ideas and new solutions

  • Proficiency with software such as Microsoft Word, PowerPoint, Excel; familiarity with Tableau Desktop preferred

  • Knowledge of Medicaid programs, CCO structure, incentive metrics programs, national measure specifications and quality improvement strategies strongly preferred

    Physical Skills and Abilities

Lifting/Carrying up to 0 Pounds

Pushing/Pulling up to 0 Pounds

Pinching/Retrieving Small Objects

Crouching/Crawling

Reaching

Climbing Stairs

Repetitive Finger/Wrist/Elbow/

Shoulder/Neck Movement

0 hours/day

0 hours/day

0 hours/day

0 hours/day

0 hours/day

0 hours/day

More than 6 hours/day

Standing

Walking

Sitting

Bending

Seeing

Reading

Hearing

Speaking Clearly

0 hours/day

0 hours/day

0 hours/day

0 hours/day

More than 6 hours/day

More than 6 hours/day

3-6 hours/day

3-6 hours/day

Cognitive and Other Skills and Abilities

Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.

Education and/or Experience

Minimum 5 years of increasingly responsible experience in quality improvement, program management, project management, analytics, or a combination, including a minimum of 2 years’ project or program management experience with large, complex enterprise wide projects or programs. Previous experience in facilitating large multi-stakeholder collaborations preferred.

Working Conditions

  • Environment: This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):

☒ Inside/office ☐ Clinics/health facilities ☐ Member homes

☐ Other_____________

  • Travel: This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.

  • Equipment: General office equipment

  • Hazards: n/a

Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Veterans welcome to apply

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