Job Details

Manager-Quality Performance (Full Time, Remote, North Carolina Based)

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Under the general guidance of the Quality Management Director, the Manager of Quality Performance plays a central role in continuously improving Alliances quality related strategies and innovation capabilities. The candidate must be a proven people developer with a collaborative approach that builds trust within internal and external stakeholders including but not limited to clinical operations, senior and executive leadership.

This position will have multiple direct reports (individual contributors) and is responsible for performance improvement data analysis, as well as development, implementation, monitoring, and management of specific clinical strategic interventions aimed at improving member and provider experience, member health outcomes, and decreasing cost of care per capita.

This position is full-time remote. While there is no expectation of being in the office routinely, the employee may be required to report to the Alliance Home Office (Morrisville, North Carolina) for business meetings as needed.

Responsibilities & Duties

High Performing Strategy and Innovative Leadership

• Manages a diverse team of performance specialists and clinical quality data analysts to execute on the organizations 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.
• Facilitates clinical quality interventions that are evidence-based to leverage high impact activities for improving member care and outcomes.
• Integrates, coaches, supports and grows a diverse highly performing strategic and innovative team; develops the team to be highly skilled and sought after internal experts.
• Embeds continuous improvement principles into the organizations strategic plan and goals.

Project Management and Cross-Functional Collaborations

• Oversees and monitors the teams project management activities including data gathering and analysis, discussion facilitation, defining, implementing and monitoring of timelines and milestones.
• Ensures proper systems, methods and accountability practices are in place to adequately measure team efficacy and efforts where staff are deployed.
• Evaluates performance improvement approaches and assists 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.
• Influences management at all levels to secure the support and resources needed for timely and effective solution implementation.

Consultative Services

• 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.
• Maintains extensive knowledge of current regulations and ensures that clinical operations comply with all the applicable requirements.

Audits and Reporting

• Ensures ongoing audit readiness of the area; conducts internal quality assurance audits and reviews as assigned.
• Identifies, escalates and mitigates issues that will significantly impact clinical interventions.
• Effectively communicates actionable findings at all staff levels.
• Prepares and maintains detailed reports on quality metrics including findings from audits and corrective actions and as informed by contractual requirements.

Minimum Requirements

Education & Experience

• Bachelors degree in project management, statistics, public health, business administration, organizational development, or related area of study from an appropriately accredited institution and 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; or equivalent combination of education and experience.

Lean Six Sigma?Green Belt Certification (or higher) and/or Project Management Professional (PMP) certification required.

Masters degree preferred.

Knowledge, Skills, & Abilities

• In-depth knowledge of Health Risk Assessments, CAPA processes and root cause analysis methodologies.
• Awareness of industry advancements and best practices.
• 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.

Salary Range

$77,868 $101,228 per year

Benefits

An excellent fringe benefit package accompanies the salary, which includes:

• 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