Quality Project Coordinator II - Health Plans

Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services# self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services# mission of Building Healthier Communities Together. This is a remote position in which we are able to employ in the following states:#Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin Our ideal candidate will have the following: Experience with CCO quality metrics Health Plan quality experience and preferred experience with Medicaid Ability to manage multiple projects, priorities, and deliverables # JOB SUMMARY/PURPOSE Responsible for coordinating health plan quality improvement projects, activities and teams (includes research, development of quality plans and reporting activities). Acts as a liaison to various SHS committees and community coalitions. Responsible for the development and coordination of various types of member health educational efforts. # EXPERIENCE/EDUCATION/QUALIFICATIONS Bachelor#s Degree in a health care related field or equivalent experience required. Three (3) years experience in a related field, with at least one (1) year in project coordination or quality improvement in a health care setting required. Experience and/or training with MS Office required. Experience and/or training in basic medical terminology required. Experience and/or training in quality improvement processes, managed care delivery system and familiarity with CPT # ICD-9 codes preferred. Experience and/or training in health literacy and cultural competency preferred. # KNOWLEDGE/SKILLS/ABILITIES Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities. Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions. # PHYSICAL DEMANDS Rarely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 # 100% of the time) CLIMB - STAIRS LIFT (Floor to Waist: 0#-36#) 0 - 20 Lbs LIFT (Knee to chest: 24#-54#) 0 # 20 Lbs LIFT (Waist to Eye: up to 54#) 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds BEND FORWARD at waist KNEEL (on knees) STAND WALK # LEVEL SURFACE ROTATE TRUNK Standing REACH - Upward PUSH (0 - 20 pounds force) PULL (0 - 20 pounds force) SIT CARRY 2-handed, 0 - 20 pounds ROTATE TRUNK Sitting REACH - Forward MANUAL DEXTERITY Hands/wrists FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist

• Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services' self-funded employee health benefit plan.

As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together.

This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin

• Our ideal candidate will have the following:

• Experience with CCO quality metrics

• Health Plan quality experience and preferred experience with Medicaid

• Ability to manage multiple projects, priorities, and deliverables

• JOB SUMMARY/PURPOSE

• Responsible for coordinating health plan quality improvement projects, activities and teams (includes research, development of quality plans and reporting activities). Acts as a liaison to various SHS committees and community coalitions. Responsible for the development and coordination of various types of member health educational efforts.

• EXPERIENCE/EDUCATION/QUALIFICATIONS

• Bachelor's Degree in a health care related field or equivalent experience required.

• Three (3) years experience in a related field, with at least one (1) year in project coordination or quality improvement in a health care setting required.

• Experience and/or training with MS Office required.

• Experience and/or training in basic medical terminology required.

• Experience and/or training in quality improvement processes, managed care delivery system and familiarity with CPT & ICD-9 codes preferred.

• Experience and/or training in health literacy and cultural competency preferred.

• KNOWLEDGE/SKILLS/ABILITIES

• Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.

• Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.

• PHYSICAL DEMANDS

• Rarely

(1 - 10% of the time)

Occasionally

(11 - 33% of the time)

Frequently

(34 - 66% of the time)

Continually

(67 - 100% of the time)

CLIMB - STAIRS

LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

LIFT (Knee to chest: 24"-54") 0 - 20 Lbs

LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

CARRY 1-handed, 0 - 20 pounds

BEND FORWARD at waist

KNEEL (on knees)

STAND

WALK - LEVEL SURFACE

ROTATE TRUNK Standing

REACH - Upward

PUSH (0 - 20 pounds force)

PULL (0 - 20 pounds force)

SIT

CARRY 2-handed, 0 - 20 pounds

ROTATE TRUNK Sitting

REACH - Forward

MANUAL DEXTERITY Hands/wrists

FINGER DEXTERITY

PINCH Fingers

GRASP Hand/Fist