Perform duties and responsibilities in accordance with the philosophy, standards and policies and procedures of the UPMC Health System, including conveying courtesy, respect, enthusiasm and a positive attitude through all contacts with staff, health plan members, providers, peers and visitors. Work is conducted within the time parameters and in accordance with UPMC Health Plan Policies and Procedures, the Health Plan's Quality Improvement Description and Work Plan as well as the requirements and expectations of the Department of Human Services, The Pennsylvania Department of Health and any other state or federal agencies and accreditation agencies. Support the UPMC Health Plan Committee functions and activities as assigned. Ensure that meetings are organized, well documented and that they meet the Health Plan goals and objectives and the individual Committee's roles and responsibilities. Participate in the Health Plan Effectiveness Data and Information Set (HEDIS) program, including data collection and abstraction, performing root cause analysis, designing and/or implementing improvement plans, and monitoring and reporting results in accordance with the department's designated work plan. Demonstrate appropriate application of policies, procedures, and guidelines through continuous learning. Ensure that performance measurement is sufficient to produce meaningful and accurate results. Council, guide and instruct Health Plan employees on adherence to accreditation standards, HEDIS focused activities and other quality improvement initiatives. Adhere to the UPMC Health Plan HIPAA Compliance Guidelines. Ensure that HIPAA standards are met in all aspects of the Department functions including delegated functions. Ensure that all releases of member personal health information, which are conducted outside of the realm of Treatment, Payment, or Operations are appropriately documented. Coordinate and conduct network physician and staff education, initiatives related to HEDIS including HEDIS measure education, review of physician profiles and planning and implementation of improvement initiatives. Support the UPMC Health Plan Committee functions and activities as assigned. Ensure that meetings are organized, well documented and that they meet the Health Plan goals and objectives and the individual Committee's roles and responsibilities. Support and champion UPMC Health Plan safety initiatives as assigned. Bachelors' degree in a health care field or equivalent work experience required. BSN or RN is preferred. Health related Masters is preferred . years of health care experience is required. Proficiency in Microsoft Word and Excel required. PowerPoint and Access proficiency preferred. Excellent verbal, written and presentation skills are required. Professionalism, enthusiasm and initiative are expected. Ability to work independently and as productive team member is essential. Knowledge of the National Committee on Quality Assurance (NCQA) Standards for the accreditation of managed care organizations HEDIS specifications; the managed care environment and the basic tenets of continuous quality improvement are strongly preferred. Experience with data collection, analysis and management is a plus. Licensure, Certifications, and Clearances:Act 34