Project Lead—EQRO

KFMC Health Improvement Partners (KFMC) is a not-for-profit organization focused on improving healthcare quality. We inspire meaningful change and sustained high performance within the organizations and communities where we work. We’re a diverse team of multi-disciplinary professionals all focused on the same vision…best health outcomes for everyone. We believe our team members do their best work when they love what they do, and we have created an environment that fosters creativity, excellence and fun! We prioritize and value the things that are important to us, both as people and as professionals, including flexibility and a family-friendly culture. KFMC is currently seeking a Project Lead. As a member of the External Quality Review Organization (EQRO) team, this position is primarily responsible for leading the review of managed care organizations’ compliance with federal and state regulations and requirements. This role participates in project design, review activities, and writing of reports (submitted to governmental agencies and available publicly) that assess quality, timeliness, and access to care provided to members enrolled in Medicaid managed care. Graduate of an accredited college or university is required. Preference will be given to candidates with advanced degrees. Minimum of three years of experience in a health or compliance-related field is required. Knowledge/experience with managed care entities, and/or Medicaid health care delivery systems, and/or Home and Community Based Services is preferred. Excellent oral and written communication skills, and ability to manage multiple projects and activities required.