IT Business Applications Manager
Dudek
AzureERPITSMOpen Source
Senior Manager, Quality
On Belay Health Solutions
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $125,000 - $140,000 per year
Job Level
Senior
About the role
- Develop and lead the overall quality strategy aligned with CMS regulations, payer expectations, and organizational goals
- Guide clinical quality improvement and population health initiatives across the provider network
- Advise executive leadership on trends, risks, and opportunities related to clinical quality and performance
- Provide reporting to leadership on overall performance trends and opportunities and work with outside quality companies on successful reporting (i.e NRC, P360, etc.)
- Oversee the design and execution of quality improvement programs using methodologies such as PDSA, Lean, or Six Sigma
- Monitor and analyze performance on quality metrics including ACO measures (APP, MIPS), HEDIS, Stars, CAHPS, and other payer-specific requirements
- Establish performance benchmarks, dashboards, and action plans to drive measurable improvement in care outcomes and cost efficiency
- Ensure timely and accurate submission of all required CMS and commercial payer quality reports and translate federal and state regulations into policies and processes
- Partner with physicians, care teams, and leadership to align on quality goals and lead education and training on quality reporting and clinical best practices
- Direct and mentor a team of quality professionals, establish priorities, allocate resources, and oversee project timelines
Requirements
- Active LVN or RN license strongly preferred
- Minimum of 5 years of progressive experience in healthcare quality improvement, with at least 3 years in a leadership role
- Direct experience in an ACO, health plan, or value-based care organization is required
- Proven track record of managing complex quality programs and reporting requirements (e.g., CMS, NCQA, HEDIS, Stars, CAHPS, MIPS, etc.)
- Deep understanding of healthcare quality frameworks, population health, and value-based payment models
- Expertise in regulatory reporting, data analysis, and quality measurement
- Strong leadership and people management skills
- Ability to translate data insights into strategic actions
- Excellent written and verbal communication skills
- Proficiency with quality analytics tools, Microsoft Office Suite, and EHR systems
- Willingness to work 9am - 5pm EST
Benefits
- Innovative, revolutionary environment
- Great culture with a strong sense of mission and community
- Eleven (11) Paid Holidays
- Lavish PTO accrual
- Strong referral bonus program
- 401k
- Health and Dental coverage plans
- Flexible Work Arrangements and more!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
quality improvementdata analysisregulatory reportingquality measurementperformance metricsPDSALeanSix Sigmapopulation healthvalue-based payment models
Soft skills
leadershippeople managementcommunicationstrategic thinkingmentoringcollaborationeducationtraining
Certifications
LVN licenseRN license
