Manager, Measure Transformation - #21038921

Inland Empire Health Plans

Date: 5 days ago
City: Rancho Cucamonga, CA
Contract type: Full time
Inland Empire Health Plans
Position Summary/Position

Reporting to the Medical Director, Quality Transformation, the Manager, Measure Transformation will lead the design, pilot, and evaluation of new user experiences / workflows in collaboration with cross-functional teams to advance IEHP strategic priorities and goals to improve quality to members, providers, and community-based organizations. In this role, the Manager, Measure Transformation will provide oversight of identified initiatives, including planning, organizing, and collaborating with key internal and external stakeholders. The individual will also ensure the work is in line with IEHP strategic quality goals, objectives and is conducted and executed effectively. Major Functions (Duties and Responsibilities)

1. Lead multidisciplinary teams to innovate, experiment, and scale innovative solutions.

2. Cultivate and maintain relationships among provider partners.

3. Consult with all levels of senior management, make recommendations, and influence decision making.

4. Understand business challenges and align engagement strategy to address challenges.

5. Conduct and interpret competitor and customer analysis to inform strategies.

6. Adapt and integrate emerging care models and digital solutions into IEHP solutions.

7. Manage medium-to-large complexity / medium-to-high priority programs and interventions such as business, regulatory or technology deployments (inclusive of project budgets and acquiring resources with agreements from functional areas, 3rd party vendors, and consultants).

8. Structure and manage key workstreams to deliver strategic objectives.

9. Leverage cross functional relationships with vendors, providers, external consultants and IEHP Team Members, including but not limited to

a. Partner with Data Science to identify themes in quality performance using advanced analytics

b. Partner with Marketing to conduct focused interviews with providers and members

c. Partner with Provider Services and Marketing to design new provider and member workflows / user experiences informed by research findings

d. Partner with Measurement & Evaluation Team to experiment and evaluate solutions, iterate to enhance solutions as needed

e. Engage with contracting, legal, finance, and other business units as appropriate to ensure compliance

10. Analyze user feedback and learnings from experiments, recommend path forward.

11. Track contract expectations, communication, budgets, performance metrics and timelines with support from Quality Specialist.

12. Responsible for issue resolution to mitigate enterprise risk.

13. Prepare, oversee, and review documents that are related to assigned projects.

14. Evaluate the availability of necessary resources for the execution of related projects. Major Functions (Duties and Responsibilities) Cont Supervisory Responsibilities Leader: Administers Hires, Terminations, and Performance Reviews Experience Qualifications

Ten (10) or more years of experience with medical managed care management and/or business operations required including experience with strong data analysis and reporting, analytics, and business intelligence. Experience working with government programs Medicaid/Medicare. Extensive expertise in data analytics and business intelligence function. At least five (5) years of experience in a leadership capacity in data analysis and reporting, analytics, and business intelligence. Preferred Experience Education Qualifications

Bachelor’s degree in any Science or Health Related field from an accredited institution required. Other clinical degrees from an accredited institution may be considered. Preferred Education Professional Certification Professional Licenses Drivers License Required Yes, must have a valid California Driver's License. Knowledge Requirement

Knowledge in:

  • Health Plan or Hospital Federal, State and Accreditation Requirements

  • Provider Workflows and Care Coordination and Transition Management processes

  • SDOH, Health Equity, Community Resources, Person-Centered Care, Alternative Care Models

  • User Experience Design, Journey Maps, Wireframes, Prototyping, A/B Testing, Psychographic Profile Interpretation, Behavioral Economics, Cultural Anthropology Skills Requirement

  • Good problem-solving, organizational, and leadership skills are highly required

  • Proficient user of basic computer applications for the execution of daily project operations

  • Must possess excellent communication skills to effectively convey messages across to both study team members and other external persons like vendors and external consultants

  • Proficiency in Microsoft Office, PowerPoint, Excel, Project

  • Exceptional ability to organize and motivate other members in the project team

  • Excellent analytical, interpersonal, and project management skills Abilities Requirement

  • Proven track record for execution of deliverables and enterprise targets.

  • Must be able to lead and work as part of a cross-functional team, building new healthcare partnerships, products, and services.

  • Excellent creative, organization, multi-tasking and attention to detail capabilities

  • Must be able to work within a dynamic environment, including managing multiple projects, and pivot or change direction as needed

  • Must results driven, self-starter, navigate ambiguity Commitment to Team Culture

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization. Working Conditions

Hybrid preferred. Telecommute considered for the right candidate. Work Model Location Hybrid Telecommute Physical Requirements Keyboarding: 10-Key - FREQUENTLY Keyboarding: Traditional - FREQUENTLY Keyboarding: Touch-Screen - FREQUENTLY Hearing: One-on-One - FREQUENTLY Communicate: Information/ideas verbally - FREQUENTLY Near Visual Acuity - FREQUENTLY Sitting - CONSTANTLY Lighting - CONSTANTLY Indoors - FREQUENTLY Regular contacts: co-workers, supervisor - FREQUENTLY Memory - FREQUENTLY Understand and follow direction - FREQUENTLY Regular and reliable attendance - CONSTANTLY

A reasonable salary expectation is between $134,804.80 - $171,870.40 , based upon experience and internal equity.

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 7,000 and a team of more than 2,500 employees, IEHP provides quality, accessible healthcare services to more than 1.5 million members. And our Mission, Vision, and Values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and make a difference with us! IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.

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