Staff Augmentation Leads to Delivery of Successful Quality Programs

Challenge

The client set strategies and goals to improve health plan quality but the organizational structure was lacking the required resources to initiate, execute and monitor quality programs. The Quality department identified a need for program and project management support to drive strategic initiatives and tactical work to achieve organizational and departmental goals.

Solution

ProspHire aligned the appropriate program and project management resources to report directly to Quality team leaders and deliver results on assigned initiatives to drive departmental strategies and goals. Client leaders established priority and assignments, as ProspHire resources coordinated across organizational teams, vendors and systems to manage multiple quality programs delivering Medicaid and Dual Eligible plans. The ProspHire team operated as an extension of the client full time resources embedding seamlessly into their day-to-day operations.

Result

In collaboration with the client, ProspHire and the Quality team successfully delivered on assigned strategic initiatives to continuously improve health plan delivery and quality to contribute to organizational goals and priorities focused on patient-centered care.

Deliverables

  • HEDIS Program
  • Member Rewards
  • NCQA Accreditation
  • Gap Closure Van Tour
  • Vendor Call Campaigns
  • Quality Improvement Committees

Client Overview

The client is a managed care organization that provides Medicaid and Medicare services with a focus on quality and person-centered care.

Let’s have a conversation

Jaspreet Laungia

Senior Manager
[email protected]

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