Manager Quality Improvement

About the role

The organization operates in the healthcare insurance sector, focusing on supporting health outcomes through various initiatives such as population health, quality improvement, and value-based care. It addresses challenges in preventive care and health management by collaborating with providers and clinicians to enhance care quality and meet value-based objectives. The organization offers a comprehensive benefits package to support employee well-being and career growth.

The MANAGER QUALITY IMPROVEMENT is responsible for advancing population health and quality improvement efforts by working closely with provider groups, clinicians, and internal partners. This role is pivotal in implementing strategies that improve preventive care, close care gaps, and enhance health outcomes, directly supporting the organization's value-based care goals.

Responsibilities

• Support population health, quality improvement, and value-based care initiatives.
• Collaborate with providers, clinicians, and internal business partners.
• Provide embedded provider support and member outreach.
• Identify and close care gaps.
• Educate providers and improve quality measures.
• Implement clinical and operational strategies to enhance preventive care and health outcomes.

Requirements

• Registered Nurse (RN) or Registered Physician Assistant (RPA) with unrestricted license in the operating state.
• Minimum 2 years of experience with accreditation agency programs.
• At least 3 years of medical surgical and/or Quality Improvement and Utilization Review experience.
• Minimum 2 years of leadership or supervisory experience.
• Knowledge of medical terminology and procedures.
• Experience with Total Quality Management (TQM)/Continuous Quality Improvement (CQI) concepts.
• Strong analytical skills for data analysis and report preparation.
• Effective verbal and written communication skills.
• Project management experience.
• Proficiency with Microsoft Windows and database applications.

Pay

Base pay range: $84,400.00 to $152,300.00 annually. Compensation varies based on skills, experience, and location. Role aligns with an annual incentive bonus plan subject to plan terms and conditions.

Benefits

• Medical insurance
• 401(k) savings plan
• Pension plan
• Paid parental leave
• Disability insurance