Think Beyond The Label Jobs

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!! We offer remote work opportunities for those that reside within the TriCare West region. Job Summary Reporting to the Director of Quality and Process Improvement, spearheads the development of quality improvement programs, manages Quality Improvement operations and staff, and coordinates administrative quality data and information for quality committees and the Board of DirectorsPerforms complex analysis and leads resolution to operational problems. Decision making is focused on implementing practical, timely solutions. Assesses the impact of quality improvement initiatives across TriWest. Collaborates and develops consensus with senior leadership and staff at all levels. Communicates and collaborates cross-functionally with a broad scope of project plans and risk management activities. Operates with a thorough understanding of healthcare business processes, URAC and ISO standards. Participates in new program development as necessary. Education & Experience Required: o Bachelor's degree in Business Administration, Management Information Systems, Engineering, Healthcare Administration, or related field. o 5+ years experience in healthcare quality program administration o 5+ years experience managing complex projects/teams o 4+ years experience in business analysis, process improvement, and consulting o Experience with database software, statistical tools and Excel Preferred: 10+ years experience managing Healthcare Quality programs. o 10+ years experience using Lean and Six Sigma to drive process improvement initiatives. o 10+ years experience managing complex project/teams o 8+ years experience in business analysis, process improvement and consulting o Master Black Belt Certification or in the process of obtaining the certification o Experience in working in Department of Defense (DOD) environment. Key Responsibilities o Manages the quality program function by coordinating staff workflow and performance outcomes through coaching, training and directing staff. o Serves as the SME for Quality and Healthcare regulations. o Leads efforts to obtain accreditation or re-accreditation by interpreting standards, collaborating with involved departments, and coordinating activities with line managers. o Conducts research and development to support new or revised business processes. Collaborates with the Performance Improvement team to conducts process redesign, current state analysis, data analysis, and new process development. o Innovative thinker who functions as a cross-functional change agent to promote systems thinking, customer focus, and commitment to continuous process improvement. Manages cross-functional projects with broad impact on TriWest. Coordinates issue-identification, current state analysis, and problem resolution. o Develops detailed business plans for both short and long term objectives. o Develops service-level agreements with business units and measures outcomes. o Functions as a facilitator during organizational change efforts. Coordinates administrative quality data and information for quality memo from Quality Management and Improvement Committee (QMIC) information, minutes and outcomes follow-up. o Performs other duties as assigned. o Regular and reliable attendance is required. Competencies Coaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback. Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; Adapt to different styles; Listen critically; Collaborate. Computer Literacy: Ability to manage large amounts of complex infor