National Quality Performance Manager (Remote)

About Our Client

The organization operates in the healthcare sector, focusing on quality performance improvement for health plans. It addresses challenges related to healthcare quality measurement, data accuracy, regulatory compliance, and audit readiness by implementing strategic initiatives designed to improve health outcomes and strengthen quality performance. The organization emphasizes data-driven decision-making, collaboration, and continuous improvement across its quality programs.

About the Opportunity

The National Quality Performance Manager leads quality performance initiatives involving data strategy, analytics, reporting, and program management. This role works closely with health plan quality leaders and cross-functional teams to ensure accurate, complete, and actionable quality data. The position plays a key role in driving performance improvement, supporting regulatory compliance, and maximizing national HEDIS audit readiness and success.

Responsibilities

• Collaborate with health plan quality leaders to develop and manage quality data collection strategies, analytics, and reporting.
• Monitor quality initiatives from planning and implementation through final delivery.
• Oversee quality data ingestion, validation, and reconciliation to improve completeness and accuracy.
• Analyze quality data to identify trends, performance gaps, and opportunities for improvement.
• Ensure quality programs align with regulatory audit requirements and support national HEDIS audit readiness and success.
• Partner with cross-functional teams to maintain data integrity and identify opportunities for care gap closure.
• Develop, maintain, and organize quality program documentation for enterprise quality teams.
• Prepare and communicate regular quality status reports highlighting progress, risks, issues, and opportunities.
• Establish and maintain effective relationships with customers, health plan leaders, and internal stakeholders.
• Support continuous improvement initiatives by translating quality data and findings into actionable recommendations.

Requirements

• Minimum 3 years of program or project management experience in healthcare quality, or equivalent education and experience.
• Healthcare industry experience or strong functional knowledge of quality programs.
• Ability to simplify complex concepts and communicate them effectively to technical and non-technical audiences.
• Proficiency in data analysis, manipulation, interpretation, and reporting.
• Strong quantitative, critical-thinking, analytical, and problem-solving skills.
• Excellent attention to detail with strong organizational and project management abilities.
• Ability to collaborate effectively within a matrixed organization and across multiple functional teams.
• Strong verbal, written, and presentation communication skills.
• Proficiency with Microsoft Office applications and the ability to learn new software and systems quickly.

Pay

The pay range and compensation package for this role will be determined based on the candidate’s experience, skills, qualifications, location, and other relevant factors.

Benefits

• Competitive benefits and compensation package.