Quality Performance Manager

A company is looking for a Manager, Quality Performance to lead quality performance strategy and execution across various healthcare contracts.

Key Responsibilities

Manage quality measurement, monitoring, reporting, and submission processes to meet contractual quality thresholds

Design and implement strategic initiatives to improve outcomes in preventive care and chronic condition management

Serve as a subject matter expert on quality programs, translating requirements into actionable workflows

Required Qualifications

8+ years of experience in healthcare, focusing on Medicare and / or Medicare Advantage

4+ years of direct experience in healthcare quality management for an ACO or health plan

Proven success in developing and implementing quality initiatives that improve health outcomes

Expert-level knowledge of HEDIS, MIPS, and MSSP ACO quality reporting requirements

A Bachelor's degree in Healthcare, Public Health, or a related field