Quality Performance Manager
VirtualVocationsPaterson, New Jersey, United Statesjob_description.job_card.1_day_ago
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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
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