Coordinates and supports effective overall implementation of the Quality Improvement Programs (Clinical Quality Improvement/Utilization Management/Disease Management Program – Clinical QI/UM/DM, and Service and Perception Improvement Program – SPIP), including program document maintenance and coordination of annual program evaluation. Ensures periodic program review by identified internally and externally-staffed committees, Board committees, and the Board of Directors. Provides support for formal Performance Improvement Projects (PIPs) for both clinical and service initiatives. Oversees the QI Referral process, working with the QI Medical Director to ensure timely and complete resolution of reported issues. Provides project management oversight for preparation of the annual HEDIS report. Participates in development and oversight of QI-focused programs as developed by AlohaCare. Oversees the member and provider Grievance and Appeals processes. Ability to communicate effectively in English, both verbally and in writing; strong writing and presentation skills required, basic computer knowledge required, must be able to operate a personal computer, printer, copier, fax machine, phone. College degree required. Extensive, directly relevant experience can be substituted Quality Improvement/Quality Assurance and/or Project Management experience required. Minimum of two years previous management experience in a health care setting of with a Peer Review Organization preferred. Please check out our career page at www.alohacare.org Fax or email your resume WITH salary history and current requirements to address above for any consideration. Follow up calls will not be necessary as all COMPLETED resumes will be processed. Location: Honolulu Compensation: Based upon experience Principals only. Recruiters, please don't contact this job poster. Please, no phone calls about this job! Please do not contact job poster about other services, products or commercial interests. hawaii