Quality Programs Manager

Position Summary: The Quality Programs Manager provides leadership for quality program services to support value-based care throughout the CHESS network. The Manager uses skills to coordinate and provide quality program services to CHESS value partners to ensure they maintain or achieve high quality performance across value-based contracts,lead and develop a quality team, improve processes, and provide outstanding service to internal and external customers. Position Responsibilities:Serve as a quality programs expert for internal and external customers and assist customers in defining problems and needs related to education, data, reporting, analytics, and performanceMaintain knowledge of latest information available from NCQA, CMS, payer resources, and other quality referencesCoordinate quality activities for efficiency and effectivenessSupervise quality team, ensuring high quality work product and encouraging innovation and engagementProvide consultation to team members, including advising on time management and other professional skillsIdentify growth needs for department, develop, and execute plans for individual and group professional developmentCoordinate recruitment, hiring, and new-hire onboarding of new personnel with the DirectorBuild strong relationships with internal and external customersEvaluate, develop, and implement strategies to improve customer satisfactionEngage internal and external customers in new development and process improvements in quality programs for excellence in client deliverablesWith the leadership team, assists with the development, revision, implementation and communication of strategic initiatives and goalsSupport the development of quality program standardsMaintain a quality programs roadmapPartner with other departments to assure successful implementation of new value partners, new contracts, and new quality measuresStandardize and document processes and approaches to quality measurement, monitoring, and reporting for the teamValidate accuracy of quality data elements in payer reporting and internal analytics toolsAssist in accurate data entry into quality data analytics/aggregation tools for quality monitoring, reporting or other program requirements  Interpret quality related information from various electronic medical record (EMR) templates. Oversee continuous quality data monitoring to ensure accurate capture from client EHRs.Utilize dashboards and reports as visualizations to guide quality performance. Review, analyze and disseminate quality performance information from multiple internal and external quality reports.Perform analysis and assists internal and external customers to identify trends and shifts in quality performance.Assess the progression of quality performance to goals. Understand and interpret quality measure results and be able to recommend performance strategies from best practices, care models, and evidence-based guidelines.Prepare ad hoc reporting and analysis of quality data as neededParticipate in quality reporting processes across payers, including dispute resolutionEvaluate information and needs of internal and external customers in support of quality objectivesSupport and assist with design of quality programs and procedures as neededPrepare content and present quality education to various internal and external stakeholder audiencesManage, maintain, and update a library of quality program references, resources, measure specifications, and other relevant informationEnsure requests for information are handled promptly, in compliance with policies, and effectivelyPlease note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Position Qualifications: RequiredBachelor’s degree in Health or Business Administration, Analytics, or related area5 years’ experience in ambulatory healthcare quality programsExperience in data abstraction, entry, and/or analysisExperience with electronic medical record systemsProven ability to manage multiple projects simultaneouslyProven ability to multi-task and remain focused in a fast-paced environment     PreferredMaster’s degree in Health or Business Administration, Analytics, or related areaClinical Healthcare background     Skills, Knowledge, and Abilities:Solid understanding of quality measures in various value-based contracts, such as CMS ACO models, Medicare Advantage, and Commercial quality programsExperience with cross-team collaboration for troubleshooting and solving complex problems and process issues. Effective problem-solving and influencing skills.Excellent written and verbal communication skills, including ability to present topics to and adapt content for various audiencesExperience with accountable care organizations and value-based care quality programsExperience leading a teamLean Six Sigma and continuous improvement methodologyKnowledge of computer systems, programs, and spreadsheet applicationsProficiency in using Microsoft programs (Word, Excel, PowerPoint)Knowledge of medical terminologyExceptional customer service, and interpersonal skillsStrong organization skillsAbility to work independently and collaboratively. Ability to act with autonomy and be flexible as team and client needs change.Key CompetenciesService orientationIntegrityEthical practice and confidentialityTo apply: https://bit.ly/CHESSQualityPgmMgr