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Thank you for your interest in joining Driscoll Health Plan! Please review the job information below.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

• Maintains utmost level of confidentiality at all times.
• Adheres to health system and health plan policies and procedures
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Responsible for overall management of DHP’s Health Equity Program and Accreditation in collaboration with the Quality Division Leadership.
• Establishes organizational program that supports a “continuous readiness” culture related to HE related activities and accreditation.
• Provides ongoing monitoring of health plan departmental processes, data and supporting evidence for continuing compliance with HE accreditation standards.
• Performs gap analysis, as indicated, to determine need for implementation of new/revised standards and the impact to various departments across the organization.
• Provides project management for accreditation/reaccreditation and/or inclusion of new lines of business, Service Areas, or others as deemed appropriate.
• Coordinates inter-departmental/facility activities within the health system to optimize continued compliance with Health Plan Accreditation, including timely, accurate submission of materials.
• Collaborates with project management in the oversight of key quality metrics and quality/performance improvement projects/initiatives associated with HE Program/Accreditation as indicated.
• Provides training, development, and consultation for HE related processes, materials.
• Other duties as assigned.

Education and/or Experience:

• Bachelor’s degree from four-year college or university in healthcare administration, public health or other business related field
• Master’s degree (M. A.) or equivalent in a related healthcare field preferred
• Strong understanding of health equity, addressing health disparities and cultural competency program development and stakeholder engagement
• 5-7 years in managed care/health care organization preferably in health equity, cultural competency and or quality management

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