Quality Measurement Evaluator

North Carolina Department of Health and Human Services (NCDHHS) - Division of Health Benefits

The Evaluation Team at North Carolina Medicaid is recruiting for a full-time position. See below for the full position description.

Quality Measurement Evaluator: $35 – $50/hr depending on qualifications

How to apply: Interested applicants should send a resume/CV and brief cover letter to jessica.a.kuhn@dhhs.nc.gov and CC: jekisha.elliott@dhhs.nc.gov, madison.shaffer@dhhs.nc.gov, and deja.taliaferro@dhhs.nc.gov

Please submit application materials as PDFs using the following naming convention:  LAST NAME_FIRST NAME_Resume.pdf and LAST NAME_FIRST NAME_Cover_Letter.pdf

Deadline: Priority will be given to applicants that submit materials by February 2nd, but additional applicants may be considered on a rolling basis.

More about NC Medicaid’s Evaluation Team: North Carolina Medicaid provides health coverage to approximately 2.9 million low-income adults, children, pregnant women, seniors, and people with disabilities. The Evaluation team supports this mission by overseeing quality measurement, federal-facing monitoring, data collection, and internal and external evaluation. Our work is primarily concerned with creating mechanisms to oversee:

  • health plan and provider performance
  • the quality of care provided to beneficiaries
  • the health outcomes experienced by beneficiaries
  • disparities in health care quality and health outcomes
  • the efficacy of policies and programs intended to improve health care quality and health outcomes

Position Description: The Quality Measurement Evaluator is responsible for supporting the design, development, and analysis of quality measures and performance improvement processes for program evaluation as part of the larger Quality, Population Health, and Evaluation (QPHE) Team in NC Medicaid. This position will work closely with other Medicaid departments, staff from other North Carolina Department of Health and Human Services (NC DHHS) agencies, and national and state advocacy organizations. The Quality Measurement Evaluator will be largely responsible for developing and editing high-quality reports for both public and internal use.

Other responsibilities include, but are not limited to:

  • Ensuring business leads have formative information to plan and adapt their work in adherence to best practices, current policies, and stakeholder demands.
  • Performing comprehensive process monitoring to oversee and adjust programs and policies as they are implemented.
  • Providing meaningful qualitative and quantitative analysis of the impact of the metrics for quality and performance improvement.
  • Serving as a liaison to quality management, population health, other Medicaid departments and NC DHHS Divisions, external evaluators, health plans, and the Eastern Band of Cherokee Indians on issues related to the monitoring and evaluation of quality measures and performance improvement.

Knowledge, Skills and Abilities Required:

  • Thorough knowledge of national and standard health and quality of care measures (NCQA-HEDIS Measures, CMS Core Measures, and others).
  • Demonstrated experience developing and implementing user-friendly and comprehensive dashboards and/or reports.
  • Ability to interpret complex data, data sets and other information to identify and communicate trends and probable outcomes.
  • Excellent critical thinking, problem solving, and project management skills.
  • Demonstrated ability to communicate complex material in a clear and concise manner both verbally and in writing.
  • Demonstrated skill in creating and maintaining collaborative working relationships with internal and external stakeholders.
  • Ability to multitask and work on projects with minimal supervision.
  • Ability to work well both independently and as part of a larger team.
  • Flexibility to adapt to shifting priorities and short-term deadlines.
  • Strong proficiency in Microsoft Office products, including Excel, Outlook, PowerPoint, Word, and Teams.
  • Strong understanding of program monitoring and evaluation.

Minimum Education and Experience: Bachelor’s degree from an appropriately accredited institution in a discipline related to the area of assignment with one year of programmatic experience related to the area of assignment; or an equivalent combination of training and experience.

Manager’s Preference:

  • Master’s degree in an associated discipline (e.g., public health, population health, public administration, etc.) or three years of programmatic experience.
  • Familiarity with Medicaid and health care and associated rules, regulations, and standards.
  • Understanding of clinical workflows and/or familiarity with medical coding (not required).
  • Knowledge and demonstrated experience in the calculation and analysis of population health delivery models, care delivery models, care management models, clinical program innovations, and system redesign.
  • Familiarity with North Carolina Medicaid’s transition to managed care and/or understanding of various state models and programs (Advanced Medical Home (AMH) program, North Carolina Integrated Care for Kids model (NC InCK), Healthy Opportunities Pilots, and others).
  • Interest in using technology to advance quality of care via electronic health records (EHRs), electronic health information exchange (HIE), electronic clinical quality measures (eCQMs), digital quality measures (dQMs), etc.

Hiring Range: $35-$50 per hour depending on qualifications

Position Parameters:

  1. Temporary employees with University Temporary Services (UTS) are offered the opportunity to enroll in an ACA plan through NC State University if they are working in a position that is expected to last at least 3 months in duration and the position is 30 hours per week or more. An employee would be available to enroll immediately upon starting and coverage would start the 1st of the month following enrollment. Here is more information about the plan: https://benefits.hr.ncsu.edu/aca
    -employee-eligibility/. More information is available upon request.
  2. An annual one-month furlough is required under UTS. Typically, furloughs are taken in the 11th month of employment. However, after six months of employment, if the employee’s supervisor agrees, the employee can transition to independent contractor status under Area L AHEC. Furlough is not required for independent contractors.
  3. As a temporary position through UTS, you would receive a W2 as you would technically be employed through NC State University. If you end up transitioning to the independent contractor status at the 6-month mark, you will then have a 1099 tax form at that time. Transitioning to the independent contractor status is optional.
  4. This is intended to be a full-time position with the employee working at least 40 hours per week. Hours per week are negotiable under the right circumstances.
  5. With some limitations, flexible schedules can be negotiated with supervisors.
  6. With some exceptions, this is a hybrid working arrangement, with in-person work being conducted on Dorothea Dix Campus in Raleigh, North Carolina.
  7. All hires will have to pass a background check.
  8. This is a long-term temporary position with no specified end date.

To apply for this job email your details to jessica.a.kuhn@dhhs.nc.gov