Providence Health & Services Program Manager - Behavioral Health Quality in Beaverton, Oregon
Providence St. Joseph Health is calling a Program Manager Behavioral Health Quality to our location in Beaverton, OR.
We are seeking a Program Manager Behavioral Health Quality to be responsible for the oversight, planning and execution of the organization's behavioral health quality strategy. Objectives of the position include driving clinical quality performance within the network, using data to drive improvement initiatives for areas of identified deficiencies, improving ED/inpatient follow-up for conditions related to behavioral health and facilitating improved communications between behavioral health and physical health providers.
In this position you will have the following responsibilities:
Lead the development and implementation of the behavioral health program quality goals and strategies for all lines of business, in alignment with NCQA, Medicare Stars, CCO, and population health initiatives.
Monitor behavioral health clinical quality performance across all lines of business and design, create, and implement resulting improvement projects and initiatives.
Present clinical quality measure performance and analyses to the behavioral health quality committee.
Oversee the organizations quality improvement initiatives as managed through annual quality committee work plan.
Engage with internal department stakeholders to drive performance in ED/inpatient follow-up care.
Partner with external provider stakeholders around data sharing, the dissemination of best practices, and clinical education material.
Develop member education material for conditions related to behavioral health.
Partner with Quality Department staff to conduct case reviews for quality of care complaints and potential adverse events.
Service as content expert for behavioral health HEDIS measures.
Use QI techniques (e.g., PDSA, lean, 6-sigma, root cause analysis) to lead performance improvement around a measures.
Participate in internal committee meetings to highlight performance opportunities within the organization.
Required qualifications for this position include:
Master's Degree in Counseling, psychology, social work, public health, health science, health services administration, or other healthcare or business related field -OR- 5 continuous years of experience in healthcare or health plan quality management, quality improvement, or project management.
3 years related experience working in, or with a managed care organization or clinical setting in a managed environment.
3 years experience in project management or program management..
Preferred qualifications for this position include:
1 year behavioral healthcare industry experience.
License in behavioral health related field.
Previous accreditation experience (NCQA or URAC).
Experience with behavioral health HEDIS measures.
About Providence in Oregon.
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple, "Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Non-Clinical Lead/Supervisor/Manager
Req ID: 312375