JR153689 Clinical Quality Program Specialist

Responsible for supporting projects and assisting the quality improvement activities and programs for Massachusetts Behavioral Health Partnership.  The Clinical Quality Program Specialist will provide data analysis, project management, material preparation and quality improvement support to the team for HEDIS© improvement, NCQA Accreditation and Cost of Care initiatives.  

Location: Hybrid 1: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.

How you will make an impact:

• Build and maintain project plan and schedule for projects that support the quality strategy, contributes to ensuring project deliverables are met, assist in documentation and project status tracing.

• Ensures integration of quality into the overall business process.

• Monitor activities to ensure project objectives are met within established time frames and budgets.

• Assists with compliance of corporate Quality Improvement (QI) work plans.

• Supports Clinical Quality Program with maintaining effective documentation to meet regulatory and Accreditation Standards.

• Conducts accurate and complete quantitative analysis of clinical data and presentation of results.

• Additional responsibilities will include scheduling, conducting and attending meetings, supporting management in overall objectives, assessing costs and savings.

Minimum Requirements:

• Requires 2 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Experience in healthcare is highly preferred.

• Excel Proficiency: Must possess intermediate-level skills in Excel, including proficiency with pivot tables, VLOOKUP, and other commonly used functions, to effectively analyze and manage data.

• Location: Candidates must reside in Massachusetts to facilitate collaboration with the team in Boston.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.