Manager, Health Plan Quality Interventions - RN Required - Remote

Overview

The Manager, Health Plan Quality Interventions oversees and implements healthcare quality improvement initiatives and education programs, ensuring compliance with quality standards and conducting performance measurement activities.

In Short

• Oversees quality improvement initiatives and education programs.
• Conducts data collection and reporting for performance measurement.
• Develops and implements quality interventions.
• Coordinates resources and training within the health plan.
• Facilitates stakeholder input from the Joint Operations Committee.
• Communicates key deliverables and barriers to leadership.
• Leads cross-functional teams for intervention implementation.
• Maintains integrity of established programs and outreach initiatives.
• Supports high-quality clinical care through strategic relationships.
• Must possess an active RN license.

Requirements

• Active, unrestricted RN License.
• 5+ years in managed healthcare, with 2 years in quality improvement.
• 2+ years of management experience in healthcare quality.
• Operational knowledge of Excel and Visio.
• Master's Degree in a clinical field or Public Health preferred.
• 3+ years with HEDIS outreach or quality intervention studies preferred.
• Supervisory and project management experience preferred.
• Experience developing performance measures preferred.
• CPHQ or CHCA certification preferred.

Benefits

• Competitive benefits and compensation package.
• Equal Opportunity Employer.