RN Clinical Quality Manager

A company is looking for a Clinical Quality Manager - Population Health - Medicare Advantage (MA).

Key Responsibilities

Lead system-wide population health projects and initiatives, developing implementation plans and operational workflows

Provide subject matter expertise on value-based quality measures and enhance contract performance through data validation

Direct and lead a team of Population Health Coordinators to support quality outcomes and performance within value-based care programs

Required Qualifications, Training, and Education

Current RN License in the state of practice or covered by compact (required)

BSN or Bachelor's degree in Healthcare or related field (required)

7 years of business / healthcare experience in leadership, healthcare quality, and project management (required)

Experience with managed security service provider (MSSP), NCQA, CMS, and HEDIS (required)

MSN or Master's degree in Business, Healthcare Administration, or related field (preferred)