Manager, Clinical Services Business Insights

Job Description

Job Description

Who we are

Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.

Our commitment is to :

• Strive to apply an equity lens to all our work.
• Reduce health disparities.
• Create an equitable work environment.

About the Role

Provides oversight of strategy, auditing, training, analytics, and reporting for the Clinical Services business unit. Responsible for daily oversight of monitoring programs, managing department projects and internal and external reporting of Clinical Services programs. Ensures Clinical Service programs and processes align with applicable regulatory standards including Centers for Medicare and Medicaid (CMS), Dual Eligible Special Needs Plans (DSNP) Model of Care (MOC), Health Care Authority (HCA), and National Commission for Quality Assurance (NCQA).

To be successful in this role, you :

Essential functions and Roles and Responsibilities :

Knowledge, Skills, and Abilities :

As part of our hiring process, the following criteria must be met :

Criminal History : includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant’s criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and / employees.

Compensation and Benefits :

The position is FLSA Exempt and is not eligible for overtime. Based on market data, this position grade is 69 and has a 10% annual incentive target based on company, department, and individual performance goals.

CHPW offers the following benefits for Full and Part-time employees and their dependents :

Sensory / Physical / Mental Requirements :

Sensory

Physical

Mental :

Work Environment :

Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.