Program Quality Analyst
Public PartnershipsIt's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
This position needs to be available during Pacific Standard Time (PST) working hours.
PPL supports individuals with disabilities, chronic illnesses, and aging adults to remain in their homes and communities and “self-direct” their own services. Our role as the nation’s largest and most experienced Financial Management Service (FMS) provider is to assist people accessing services to choose and pay for their own caregivers, support workers and services within their state-approved personalized budget or spending plan. We are appointed or approved by states, managed healthcare organizations or case management agencies to better serve more of their members and participants requiring services and supports and ensure the efficient use of taxpayer funded services and program funds. This role specifically works with participants and stakeholders in the state of California who receive services in self-direction programs like the Self-Determination Program and Participant Directed Services.
Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the people we serve (learn more at https://pplfirst.com/programs/california).
Learn more about PPL on our website at https://pplfirst.com/about-us/
We are seeking a skilled Program Quality Analyst to help ensure that California self-direction programs run efficiently, meet regulatory requirements, and deliver high quality outcomes for participants. The Program Quality Analyst will serve as a key liaison among leadership, program coordinators, service providers and participants. They will analyze current workflows, define requirements for improvements, monitor performance metrics, and support data-driven decision making to enhance program effectiveness.
Duties & Responsibilities
Creates and manages a dashboard of CA progress towards revenue targets and accuracy of billing for RCM.
Creates reporting of service and administrative funds tied to all 21 Regional Centers (case management agencies) in California.
Implements procedures to reconcile funding variances between Regional Centers and PPL.
Coordinates with PPL internal teams to ensure necessary authorization is obtained and entered in the system.
Creates and analyzes reporting of eligibility and authorization paperwork for the operations teams to better inform payment timelines.
Audits and monitors administrative tiers in the PPL system for accurate and consistent payment.
Tracks progress of payment resolution and monitors outstanding issues that need to be escalated to the team.
Identifies gaps in administrative processes, presents solutions to the team for process improvement.
Generate performance metrics, dashboards, and reports to track program outcomes, service delivery, budget utilization, participant satisfaction, and compliance.
Research root cause of system or process errors that affect timeliness of enrollments and payment.
Collaborates internally to enhance programming for participants and stakeholders.
Required Skills and Abilities
Strong skills in Data Analysis: Excel, database queries, ability to work with data visualizations/dashboards.
Ability to analyze information, present information, and offer solutions based on findings.
Effective verbal and written communication; ability to translate between technical/data people and program/policy stakeholders.
Ability to work effectively in a team environment.
Ability to work independently with little supervision.
Ability to work with ambiguity, lead process change, and manage multiple priorities.
Ability to create tables, track information, and manipulate data.
Skills with tools like Power BI to create visual reports and dashboards.
Proficient in MS Office Suite.
Qualifications
Education: Bachelor's degree in in Business Administration, Social Service, Health Administration or Data Analytics or related field
Certifications in Business Analysis such as CBAP, PMI-PBA, or similar are a plus.
Experience: 3-5 years
Working Conditions:
Remote/Hybrid must support Pacific Standard Time. Full-Time Exempt position, some travel may be required.
Supervisory Responsibility (If applicable):
N/A
Compensation range: $75,000-$93,500 annually
The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities, or skills of personnel so classified
PPL is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PPL, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PPL will not tolerate discrimination or harassment based on any of these characteristics.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!