This position is responsible for coordinating research efforts within a team setting for analyzing and assessing the effectiveness of health plan quality initiatives, producing written reports and presentation materials related to the quality of care provided to Texas Medicaid and CHIP beneficiaries. Coordinates qualitative assessments of health plans and their Quality Improvement (QI) structure and processes.
Applies implementation science methods to evaluate health plan Performance Improvement Projects (PIPs) and provide health plans with meaningful guidance to improve QI efforts and health outcomes of the Medicaid population. Refines and implements program procedures for assessment of health plans, through evaluative reviews of health plan reports and documents. Contributes to development of quality improvement strategies for state Medicaid program and multiple participating health plans; coordinates efforts of the team to ensure efficient workflow.
Directly coordinates day to day activities of assessments of health plan quality. Designs and
conducts interviews of health plan personnel, reviews health plan documents, assessments of health
plan compliance with state and federal regulations, and evaluations of quality improvement programs and
performance improvement projects. Assists in the design and coordination of evaluation research studies
including the development of methodologies, instruments, and other tools. Writes health plan
Creates efficient and effective structures and processes to facilitate the successful completion of
QI-related deliverables. Assists in the interpretation and administration of policies and procedures as they
apply to assigned areas of responsibility. Makes recommendations for developing, revising, and
implementing program policy and procedures. Work with faculty and team staff to develop innovative
research projects that focus on health care quality topics of interest to the State of Texas, and that
coincide with national, state, and ICHP research priorities. Conducts qualitative analyses of QI
deliverables and generates written reports of results for provision to key stakeholders.
Recommends and prepares content for webinars, workshops, health plan learning collaborative,
web portal, and other avenues for communicating QI strategies to health plans.
Coordinates special studies or projects as directed. Collaborates with project team members
internal and external to the Quality Improvement core. Monitors and coordinates project planning,
timelines, and tasks for multiple Texas Project deliverables. Communicates with HHSC about
project planning and updates on current projects.
Performs related duties as required or deemed appropriate to the accomplishment of the
responsibilities and function of the QI core.