Quality Improvement Hedis Program Manager Jobs (NOW HIRING)

Primary Duties And Responsibilities 

The Program Manager Performance/Quality Improvement is responsible for the advanced planning and analytical consulting to the administrative and managerial staff of the department to ensure that the projects and priorities of continuous improvement are carried out to completion.

The Program Manager is also responsible for establishing and continuing effective operational improvement efforts to ensure the development and growth are both efficient, effective, and established on sound processes. Interacts daily with leaders, to identify, define and manage opportunities to improve strategic, financial and operation performance for continuous improvement while helping create a strategic approach to produce and establish extraordinary improvement as a foundation for continued growth.

The responsibilities of this role are to rally the leaders in a spirit of continuous improvement and energize the continued rapid growth and expansion, tracking department formation, leading programs and projects, helping to organize and lead efforts for improvement and growth.

Quality Management: Responsible for establishing and continuing effective quality improvement efforts to achieve organizational performance goals and national top decile performance in clinical excellence.

Quality improvements may be small or large scale and are in alignment with Hoag's strategic goals, for example addressing 30-day readmissions and mortality reduction.

The Quality Improvement Manager may apply Lean, Six Sigma, and other quality improvement methodologies to deliver results.

Coaches and trains teams in the utilization of improvement tools and implementation of improvements.

Manages plans and develops guidelines, process measures, targets, and standards for monitoring and measuring results to deliver on goals.

Interacts daily with leaders, to identify, define, and manage opportunities to improve quality while helping create a strategic approach to produce and establish extraordinary improvement.

The Program Manager Quality Improvement collaborates to lead and organize efforts for continuous clinical improvement.

Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.

For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County's health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.

Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.

Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.

To learn more about Hoag's awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/.

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Education and Experience

• Bachelor's degree in Industrial Engineering, Business/Healthcare Administration or equivalent Medical Foundation, Physician Practice or Health Plan related experience
• Advanced training or experience in performing statistical, financial and strategic analysis
• Five years experience in performance/process improvement projects including but not limited to Lean, Six Sigma methodologies
• Demonstrated performance improvement and process improvement skills and knowledge of methodologies such as Lean, Six Sigma, DMAIC, and PDCA
• Highly proficient in Microsoft Project and the Microsoft Office Suite (Word, Excel, PowerPoint, Visio)

Preferred:

• Master's degree in Industrial Engineering, Business/Healthcare Administration
• Consulting experience
• Experience managing healthcare-related projects and familiarity with healthcare provider industry
• Quality Management: Seven-years experience in performance/process improvement projects preferred. Master's degree in Healthcare Administration or Public Health preferred.

License Required

N/A

License Preferred

N/A

Certifications Required

N/A

Certifications Preferred

N/A