We are seeking a Quality Program Associate to join our team! As a pivotal part of our early Quality team you will play a key role in monitoring and supporting strategies that engage our partnered practices in executing clinical quality performance for Medicaid and Medicare patients.

What you’ll do

As a Quality Program at Diverge, you will be a key partner to our partner providers and market operators in enabling improved outcomes in the communities we serve. Reporting to the Director of Quality and Risk Adjustment you will have a front-row seat to the build and enablement of Quality and Risk Adjustment strategies that support our partner practices. You will play a key role in building and scaling the Quality and Risk Adjustment program from the ground up. Risk Adjustment experience is not required, but this is a great opportunity for anyone who knows or is interested in learning more about Risk Adjustment!

Key areas you’ll add value

• Supports the Senior Director, Quality & Risk Adjustment with overseeing quality improvement activities/projects/programs for one or more health plans across multiple states of operation

• Works cross-functionally to develop, implement, and maintain multiple initiatives aimed at improving performance on HEDIS/Stars measures throughout the year.

• Participates and assists in the development of all necessary protocols, operational tools, educational materials, operational strategies and plans to develop and implement prospective quality improvement initiatives

• Identifies barriers to project and program success and works toward resolution by informing the accountable functional area and presenting plans to resolve the issue when possible
• Analyzes initiative results and identifies performance improvement opportunities

What you’ll bring

• Knowledge of managed care operations, HEDIS and STARS measures and reporting, project management

• 2-5 years of experience working in Quality

• Analytical skills in synthesizing information from data, and communicating business requirements to IT

• Extensive knowledge of Microsoft Office with advanced skills in Excel

• Strong sense of humility
• Desire to be a continuous learner

Personal Characteristics

• Equally empathetic and objective, humble and highly conscientious; a teammate that inspires and motivates others.

• Comfort with uncertainty; self-motivated and directed; can manage effectively in high growth, rapidly evolving environments.

• A problem solver, able to think critically and strategically while being hands on in driving work; proactively identifies and resolves risks to execution and delivery.

• Strong representation of the company's mission, vision, and values across all dimensions of internal and external interactions.

• Strength in authentically connecting with people from all walks of life with empathy and humility.