Manager - Quality Improvement

We need to output HTML fragment with sections: About the role, Responsibilities (maybe "What You'll Do"), Qualifications, maybe Benefits? There's compensation given: $90,000 - $110,000 / year. That's pay, so we need a Pay section. Also location and department maybe as metadata in a short p. No schedule or benefits given. So we include About the role (the description paragraph), Responsibilities (the "What You'll Do" bullet list), Qualifications (Education, Experience, License/Certifications, Knowledge, Skills, and Abilities, Preferred Qualifications). Also maybe include a short p for Department and Location and Compensation? Actually compensation is Pay section. Department and location can be in a short p. We must not repeat job title as heading. No Job ID. Remove boilerplate. We need to preserve all substantive info. Use

for section headings. Use

• for any list of duties/requirements/benefits. Use

  for prose. We need to decide structure: maybe:

  Department: Quality - Operations

  Location: 1301 Atwood Avenue, Suite 206N, Johnston, RI 02919

  Then

  About the Role

  with paragraph(s) from "About the Role" and maybe "Our Values". The values list could be a
  . Then

  Responsibilities

  with the bullet list from "What You'll Do". Could break into sub-sections? But we can just list all bullet points as
  • . Then

    Qualifications

    with sub-sections? Could use

    but only allowed headings are

    for section headings. The instruction: use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but we should stick to

    for sections. Inside Qualifications we can use

    and

    for lists. We need to include Education, Experience, License/Certifications, Knowledge, Skills, and Abilities, Preferred Qualifications as maybe
    items. Pay section:

    Pay

    with

    $90,000 - $110,000 per year

    No schedule or benefits. Make sure not to include filler like "commensurate with experience". Not present. Let's extract the content. About the Role paragraph: "The Manager, Quality Improvement is responsible for leading quality improvement initiatives that support performance across HEDIS, Medicare Stars, and other quality programs. This role collaborates with providers, health plans, IPA partners, and cross-functional teams to improve quality outcomes, close care gaps, enhance provider performance, and support organizational quality goals. The Manager provides operational leadership for assigned quality programs, regional quality operations, provider engagement activities, regulatory compliance, and quality performance initiatives while developing high-performing teams and fostering a culture of accountability and continuous improvement." Then "Our Values:" list: Put Patients First, Empower Entrepreneurial Provider and Care Teams, Operate with Integrity & Excellence, Be Innovative, Work As One Team. We'll put that as
    . Responsibilities: "What You'll Do" sections with subheadings: Quality Performance & Program Management, Provider & Health Plan Engagement, Leadership & Team Development, Compliance & Operational Excellence. Each has bullet points. We'll combine all bullet points under one
    maybe, but could keep subheadings as

    ? Not allowed? The instruction only says use

    for section headings; we could still use

    for subheadings inside, but safer to just list all bullets under one

    and maybe keep the subheadings as inside
    • ? But we need to preserve all substantive info; we can include the subheadings as part of the bullet text. Let's extract each bullet: Quality Performance & Program Management: - Lead day-to-day operations for assigned quality programs, regions, projects, and lines of business, ensuring achievement of key quality measures and performance goals. - Monitor health plan quality metrics and ratings, identify performance gaps, and implement improvement initiatives to drive measurable outcomes. - Partner with regional and cross-functional stakeholders to develop and execute care gap closure and quality improvement strategies. - Analyze performance trends and communicate findings, risks, barriers, and recommendations to leadership, providers, and health plan partners. - Oversee quality data workflows and reporting processes to ensure accurate, complete, and timely submission of required data. Provider & Health Plan Engagement: - Lead meetings with health plans, IPA partners, providers, and operational stakeholders to review performance, address opportunities, and advance quality improvement initiatives. - Drive provider engagement and education efforts supporting HEDIS, Medicare Stars, NCQA measures, value-based care objectives, and compliant care gap closure activities. - Serve as a subject matter expert on quality measures, NCQA standards, and quality improvement best practices. - Present performance updates, recommendations, and best practices while maintaining strong relationships with health plans and external partners. Leadership & Team Development: - Manage, mentor, and develop a team responsible for provider engagement, outreach, and quality improvement activities. - Lead recruitment, onboarding, performance management, coaching, and professional development efforts to build and retain a high-performing team. - Foster a culture of collaboration, accountability, continuous improvement, and service excellence in partnership with Human Resources and department leadership. Compliance & Operational Excellence: - Support payer audits, regulatory reviews, and delegated oversight activities while ensuring compliance with contractual, regulatory, and NCQA requirements. - Identify operational risks and barriers, implement corrective actions, and ensure consistent execution of quality initiatives across assigned markets and provider networks. - Participate in regional meetings and support organizational priorities, special projects, and other duties as assigned. Qualifications: Education: - Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing, or a related field preferred, or equivalent combination of education and progressively responsible experience. - Master's degree preferred. Experience: - At least 5 years of experience in healthcare quality improvement, HEDIS, Medicare Stars, population health, managed care, or related healthcare programs. - At least 2 years of leadership experience managing teams, projects, or quality improvement initiatives. - Experience working with health plans, IPAs, provider organizations, ACOs, MSOs, or value-based care programs preferred. - Experience driving measurable improvements in quality performance metrics and care gap closure initiatives. - Strong understanding of NCQA quality programs, HEDIS measures, and Medicare Star Ratings. License/Certifications (if applicable): - Lean Six Sigma certification preferred. - Certified Professional in Healthcare Quality (CPHQ) or other relevant healthcare certification preferred. Knowledge, Skills, and Abilities: - Strong knowledge of value-based care, managed care operations, HEDIS, Medicare Stars, NCQA standards, and quality improvement methodologies, including the ability to interpret and apply quality measure requirements. - Strong analytical, critical-thinking, and problem-solving skills with the ability to translate data into actionable strategies and operational improvements. - Excellent leadership, organizational, stakeholder management, and communication skills, with the ability to influence across matrixed teams and manage remote staff. - Proficiency in provider relationship management, presentation delivery, and cross-functional collaboration to drive performance outcomes. - Intermediate proficiency in Microsoft Excel, PowerPoint, reporting tools, and data analysis applications. - Demonstrated professionalism, accountability, integrity, attention to detail, and the ability to balance operational execution with organizational priorities. Preferred Qualifications: - Experience managing HEDIS, Medicare Stars, quality improvement, population health, provider performance, or regional quality operations programs. - Experience working within Medicare Advantage, Medicaid, Commercial, or other managed care environments. - Experience leading provider engagement, education, quality performance improvement, and cross-functional initiatives. - Experience supporting health plan delegation, audits, regulatory compliance activities, and quality-related reporting and analytics. Environmental Job Requirements and Working Conditions: - This position may oversee and collaborate with employees and partners in remote, office, and regional settings. - Travel up to 25% may be required to support assigned regions, provider groups, and corporate offices. - The employee must be able to attend meetings in person or virtually based on business needs. - The employee must comply with Astrana Health policies and procedures regarding patient privacy, protected health information, and all applicable federal and state regulations. We need to decide whether to include Environmental Job Requirements as a section? Not in allowed headings list, but could be part of Qualifications or maybe a separate section like "Working Conditions". The instruction: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text. The allowed headings list includes Requirements, Qualifications, Skills, Benefits, Pay, Schedule. It didn't list Working Conditions. But we could include it under Qualifications as a subsection? Or we could omit it because not in allowed headings? The instruction says use

      for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It gives examples, not an exhaustive list, but likely they expect only those headings. However, we could still include a section like "Working Conditions" as

      if it's substantive. But they said "e.g." meaning examples. It's ambiguous. Safer to include only those headings that match content: About the role, Responsibilities, Qualifications, Pay. Possibly also Skills as part of Qualifications. But we have Knowledge, Skills, and Abilities; we could make a Skills section. However, the Qualifications section already includes that. We could split Qualifications into Education, Experience, Licenses/Certifications, Knowledge/Skills/Abilities, Preferred Qualifications. But we must not create thin sections. Better to keep one Qualifications section with all details. Thus final HTML:

      Department: Quality - Operations

      Location: 1301 Atwood Avenue, Suite 206N, Johnston, RI 02919

      About the Role

      The Manager, Quality Improvement is responsible for leading quality improvement initiatives that support performance across HEDIS, Medicare Stars, and other quality programs. This role collaborates with providers, health plans, IPA partners, and cross-functional teams to improve quality outcomes, close care gaps, enhance provider performance, and support organizational quality goals. The Manager provides operational leadership for assigned quality programs, regional quality operations, provider engagement activities, regulatory compliance, and quality performance initiatives while developing high-performing teams and fostering a culture of accountability and continuous improvement.

      Our Values

      • Put Patients First
      • Empower Entrepreneurial Provider and Care Teams
      • Operate with Integrity & Excellence
      • Be Innovative
      • Work As One Team
      But we used

      which may be not allowed. Better to embed values as a

      preceded by a

      maybe. Could do:

      Our Values:

      ... That avoids extra heading. Thus:

      About the Role

      The Manager, Quality Improvement is responsible for leading quality improvement initiatives that support performance across HEDIS, Medicare Stars, and other quality programs. This role collaborates with providers, health plans, IPA partners, and cross-functional teams to improve quality outcomes, close care gaps, enhance provider performance, and support organizational quality goals. The Manager provides operational leadership for assigned quality programs, regional quality operations, provider engagement activities, regulatory compliance, and quality performance initiatives while developing high-performing teams and fostering a culture of accountability and continuous improvement.

      Our Values:

      • Put Patients First
      • Empower Entrepreneurial Provider and Care Teams
      • Operate with Integrity & Excellence
      • Be Innovative
      • Work As