NEOGOV · 1 week ago
Program Manager - Quality Initiatives
Orange, CA
Full-time
Hybrid
Mid Level
$78K/yr - $125K/yr
3+ years expCalOptima is a mission-driven community-based organization that serves member health with excellence and dignity. They are seeking a Program Manager - Quality Initiatives to design, implement, and evaluate quality programs, collaborating with leadership and monitoring cross-functional projects to achieve strategic objectives.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Supports with program design, development and implementation of quality programs impacting, but not limited to, Healthcare Effectiveness Data and Information Set (HEDIS), Managed Care Accountability Sets (MCAS) and Centers for Medicare & Medicaid Services (CMS) STARs quality measures, consistent with the quality program and workplan
Leads performance and quality improvement projects, Plan Do Study Act or other formats
Supports National Committee for Quality Assurance (NCQA) accreditation standard initiatives or projects and provides analysis and evaluation of related activities as needed
Assists with monitoring strategic program development, root cause analysis and impact analysis and coordinates collaborative and quality innovation pilots
Reviews evidence based literature for best practices to incorporate into strategy
Produces slide decks, documentation, summaries and other reports for leadership as needed
Develops and oversees the process of written tools for programmatic use, including program plans, surveys and evaluation instruments
Establishes key performance indicators (KPIs) and metrics to monitor project progress and performance, providing regular updates to senior management as needed
Collaborates with other departments in the development of program measures of success and outcome reports for programs
Maintains current knowledge of applicable regulations or clinical guidelines related to program development
Stays current on the local, state and federal health care environment and identifies issues that may impact CalOptima Health's quality program and work plan
Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability
Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department
Reviews and assists in updating policies and procedures to ensure knowledge related to assigned programs and projects is kept up to date
Works with all CalOptima Health's departments in response to inquiries, problem-solving and promoting CalOptima Health's mission and message
Completes other projects and duties as assigned
Qualification
Required
Bachelor's degree in health care or a related field PLUS 3 years of related work experience in program development, program/project management or quality metrics analysis and improvement required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying
Preferred
Master's degree in public health, health administration or related field
1 year of experience working in a highly matrixed, mission-driven organization
Benefits
CalPERS pension program and additional retirement packages.
A generous PTO program
A quality work life balance
Various wellness programs
Tuition Reimbursement
Professional development opportunities
Career development opportunities
Flexible scheduling
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
H1B Sponsorship
NEOGOV has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (13)
2024 (10)
2023 (10)
2022 (18)
2021 (14)
2020 (16)
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
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2025-10-31
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