Alliance Health · 17 hours ago
Manager-Quality Performance (Full Time, Remote, North Carolina Based)
United States
Full-time
Remote
Senior Level
$78K/yr - $99K/yr
5+ years expAlliance Health is focused on improving quality-related strategies and innovation capabilities. The Manager of Quality Performance will lead a team to enhance clinical interventions, analyze quality data, and ensure compliance with regulations while fostering collaboration across departments.
Health Care
Responsibilities
Manages a diverse team of performance specialists and clinical quality data analysts to execute on the organization’s high-priority projects
Reviews and analyzes complex quality data sets to identify strategic opportunities for improvement with a sustained focus on clinical interventions geared towards member health outcomes improvement
Leads multiple complex, high-risk, cross-functional, and/or highly sensitive priority initiatives engagements as a trusted thought partner to QM leadership, ensuring initiatives are directly and measurably aligned to support organizational strategy
Facilitate clinical quality interventions that are evidence-based to leverage high impact activities for improving member care and outcomes
Integrate, coach, support and grow a diverse highly performing strategic and innovative team; develops the team to be highly skilled and sought after internal experts
Embed continuous improvement principles into the organization’s strategic plan and goals
Oversee and monitor the team’s project management activities including data gathering and analysis, discussion facilitation, defining, implementing and monitoring of timelines and milestones
Ensure proper systems, methods and accountability practices are in place to adequately measure team efficacy and efforts where staff are deployed
Evaluate performance improvement approaches and assist teams in advisement, needed to improve processes/approach
Successfully engages cross-functional and inter-departmental business leads and their teams to identify problems to solve, coaches on implementation, monitors progress and mitigates risks and barriers to successful delivery of desired outcomes
Influence management at all levels to secure the support and resources needed for timely and effective solution implementation
Advises and provides consultation to a variety of internal and external stakeholders at all levels of the organization
Builds effective and productive working relationships within the catchment area communities and at the State level
Maintain extensive knowledge of current regulations and ensure that clinical operations comply with all the applicable requirements
Ensure ongoing audit readiness of the area; conducts internal quality assurance audits and reviews as assigned
Identify, escalate and mitigate issues that will significantly impact clinical interventions
Effectively communicate actionable findings at all staff levels
Prepare and maintain detailed reports on quality metrics including findings from audits and corrective actions and as informed by contractual requirements
Qualification
Required
Bachelor's degree in human services, project management, statistics, public health, business administration, organizational development, or related area of study from an appropriately accredited institution
Five (5) years progressive experience (gathering, editing, and analyzing data), of which at least three (3) are supervisory or involved significant experience as a project leader in the area of assignment
Lean or equivalent certification and/or Project Management Professional (PMP) certification required for position
In-depth knowledge of Health Risk Assessments, CAPA processes and root cause analysis methodologies
Knowledge of HEDIS measure and Population Health improvement initiatives
Thorough knowledge of local, state, and federal regulations and statutes governing the area of work
Extensive knowledge of a variety of quality improvement methodologies – Model for Improvement, Lean, Six Sigma
Extensive experience in establishing and documenting PDSA cycles and key driver diagrams
Knowledge of computer-assisted statistical programs (SAS, SPSS, R, Minitab) and demonstrated ability to appropriately direct the statistical analysis of data
Proven track record of leading and managing cross-functional teams in complex environments
Preferred
Master's degree preferred
Registered Nurse or LCSW, LMFT, LCMHC or Health Plan prior experience with quality and performance improvement preferred
Benefits
Medical
Dental
Vision
Life
Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility
Company
Alliance Health
Alliance Health is the managed care organization for publicly funded behavioral healthcare services.
Founded in 2012Fayetteville, North Carolina, USA
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Kelly Goodfellow
Executive Vice President, Chief Financial Officer
Recent News
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