Quality Specialist Representative

Date: Jan 23, 2023

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 7889 


Position Summary/Position


Reporting to the Manager, Measure Transformation, the Quality Specialist Representative will service as the liaison between the Quality Transformation Team and practices and/or business partners to support project objectives for the San Bernardino or Riverside area or in support of the Strategic Partnerships unit.
In this role, the Quality Specialist Representative will assist the Manager with developing and tracking project performance using agile methodologies as well as coordinating with internal / external teams to achieve deliverables. 
The Quality Specialist Representative will meet regularly with key stakeholders for related activities to ensure projects and issues are tracked, updated, and reported out frequently as scheduled. The individual will also ensure the work is in line with IEHP strategic quality goals, objectives and is conducted and executed effectively.

Major Functions (Duties and Responsibilities)


1. Liaise with practices in designated county regularly with or on behalf of Manager
2. Support project scope, objectives, business requirements analysis in alignment with enterprise strategy and quality targets
3. Assist Manager with preparation and management of budget, including but not limited to determination of resource requirements and procedure resources, gather details for budgets needed and analysis for special projects or issue resolution as requested
4. Develop and track project management plans and key performance indicators to ensure projects are completed on time, within budget, and meet stakeholder expectations
5. Support Manager with contract management with vendors and suppliers as needed by assigning tasks and communicating expected deliverables
6. Support projects from inception to completion and adjust as needed
7. Coordinate and schedule meetings and activities, capture meeting notes, and follow up action items to the keep project on track
8. Support Manager with risk management analysis to reduce and mitigate project risks, report and escalate risks / issues as needed
    a. Facilitate daily project operations, perform detailed information gathering, analysis and investigation; provide recommendations and escalate immediate decision making as needed
    b. Document and track issue resolution, implementation of regulatory changes and standardized processes for strategic projects.

Supervisory Responsibilities

Leading: Self

Experience Qualifications


A minimum of five (5) years of experience in a provider-facing role in a healthcare environment and program management/project management experience.

Education Qualifications


Bachelor’s degree in any Science, Health Related field, Business, Engineering, or Information Technology from an accredited institution required.

Drivers License Required

Yes, must have a valid California Driver's License.

Knowledge Requirement


Knowledge in: 
- Project management software tools (e.g. JIRA, PlanView), agile methodologies and best practices, certifications preferred.
- Six Sigma, Lean, Agile, Root Cause Analysis.

Familiarity with:
- Health Plan or Hospital Federal, State and Accreditation Requirements.
- Provider Workflows and Care Coordination and Transition Management processes.
- SDOH, Health Equity, Community Resources, Person-Centered Care, Alternative Care Models.
- User experience design and product innovation.

Skills Requirement


- Good organizational and leadership skills are highly required.
- Proficient user of basic computer applications for the execution of daily project operations.
- Must possess excellent communication skills to effectively convey messages across to both study team members and other external persons like vendors and external consultants .
- Proficiency in Project Management Software Tools (JIRA, PlanView, etc), Microsoft Office, PowerPoint, Excel, Project.

Abilities Requirement


- Ability to organize and motivate other members in the project team.
- Must be able to work as part of a cross-functional team, building new healthcare partnerships, products, and services.
- Excellent analytical, interpersonal skills, resourceful, adaptable, quick learner.
- Must be able to work within a dynamic environment, including managing multiple projects, and pivot or change direction as needed.
- Must results driven, self-starter, navigate ambiguity.
- Proven ability to solve problems creatively, multitask on simultaneous projects.

Commitment to Team Culture


The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions


Commute to meeting locations as needed

Work Model Location


Physical Requirements

Keyboarding: Traditional - FREQUENTLY
Keyboarding: 10-Key - FREQUENTLY
Keyboarding: Touch-Screen - FREQUENTLY
Hearing: One-on-One - FREQUENTLY
Communicate: Information/ideas verbally - FREQUENTLY
Near Visual Acuity - FREQUENTLY
Regular contacts: co-workers, supervisor - FREQUENTLY
Understand and follow direction - FREQUENTLY
Regular and reliable attendance - CONSTANTLY

A reasonable salary expectation is between $61,422.40  - $78,312.00, based upon experience and internal equity.


Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 7,000 and a team of more than 2,500 employees, IEHP provides quality, accessible healthcare services to more than 1.5 million members. And our Mission, Vision, and Values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and make a difference with us! IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles