External Quality Review Project Manager
Cerritos, CA 
Posted 5 days ago
Job Description
External Quality Review Project Manager

Job Location

Position Type

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country.

In addition, our Foundation provides grant opportunities to those with programs for under-served communities.

Best People, Best Solutions, Best Results

Essential Duties and Responsibilities:

  • Reviews project proposal or plan to have knowledge of project requirements, procedures for accomplishing project and allotment of available resources to various phases of project.
  • Assists in establishing work and staffing and assignment plans for each phase of project.
  • Maintains and manages electronic and hardcopy of contract deliverable files.
  • Monitors and coordinates deliverables ensuring completion and timely reporting of deliverables.
  • Develops and utilizes management tools to identify issues and trends, suggesting responses.
  • Is aware of the project activity due dates and sends appropriate alerts to assigned personnel to ensure project is on schedule.
  • Monitors and coordinates the activities of the project to ensure project progresses on schedule and deliverables are completed in a timely and efficient manner.
  • Maintains working knowledge of customer needs and contract requirements, deliverables, and the resources required.

Supervisory Responsibilities

  • The position manages the activities of a project/s and handles day-to-day affairs of a team, but is not responsible for the long-term traditional functions of a direct manager as this is an individual contributor position.

Required Skills

  • Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.
  • Problem Solving /Critical Thinking- Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops and communicates alternative solutions; Works well in group problem solving situations.
  • Project Management - Assists in the development of project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget; Manages project team activities.
  • Customer Service/Customer Relations - Responds promptly to customer needs; Continually solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
  • Managing People - Includes staff in planning, decision-making, facilitating and process improvement; Actively improves processes, products and services.
  • Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
  • Judgment - Demonstrates the ability to make sound business decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
  • Planning/Organizing - Prioritizes and plans work activities; Plans for additional resources; Sets goals and objectives; Develops realistic action plans.
  • Delegation - Effectively delegates work assignments; Matches the responsibility to the person; Sets expectations and monitors delegated activities.
  • Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; supports organization's goals and values
  • Computer Skills - To perform this job successfully, an individual should have knowledge of Spreadsheet, Presentation, Word Processing software. Familiarity with Access and Project Management software a plus.
  • EQR Task Knowledge - At least 1 year of experience conducting PMV and other EQR tasks.

Other Skills and Abilities

  • Must possess knowledge of the structure and operations of the content area/program area, have demonstrated superior management skills and the ability to plan, implement, and complete projects.
  • Superior organizational skills, and an ability to work with multi-disciplines and external customer on a regular basis and the ability to integrate with the activities of several different professionals on multiples projects.
  • Ability to communicate effectively with both internal and external people at all levels in the organization.

Required Experience

Education and/or Experience:

  • Bachelor's degree in a related field with at least two years' experience in project management
  • One year of experience conducting PMV and other EQR tasks

Certificates, Licenses, Registrations:

Active and current Project Management Professional (PMP), Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Management (CPHM), Certified Case Manager (CCM), Registered Nurse (RN) desirable.

Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.

*Note: Qlarant has a mandate as a Federal contractor that all associates must be fully vaccinated with one of the approved COVID vaccines.*

Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, Sexual Orientation, Gender Identity, and Individuals with Disabilities. Best People, Best Solutions, Best Results


Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Bachelor's Degree
Required Experience
1+ years
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