Project Lead—EQRO

As a member of the External Quality Review Organization (EQRO) team, this position is primarily responsible for managing all aspects of assigned projects in support of health care program evaluation, including review of compliance with federal and state regulations, surveys, quality assessment/performance improvement, and provider network validation. 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.