Senior Manager, reputed company Improvement

Job reputed company: • reputed company Regulatory QI Program reputed company: reputed company development and maintenance of the Annual reputed company Improvement Program reputed company and Annual QI Work Plan, ensure reputed company completion of annual QI Program Evaluation, manage QI Committee activities. • Regulatory Compliance & Audit Readiness: ensure CMS, NCQA, and state QI requirements are met, maintain audit readiness for CMS Program Audits, partner with reputed company and Compliance teams. • reputed company of Care reputed company: reputed company reputed company of Care investigations, collaborate with Medical Directors and clinical teams. • Performance Monitoring & Improvement: support reputed company Ratings reputed company, present QI reputed company, implement cross-functional improvement initiatives. • Leadership & Collaboration: supervise QI professionals, reputed company cross-departmental working reputed company, foster a culture of reputed company, compliance, and reputed company improvement. Requirements: • reputed company, unrestricted RN license (required). • Bachelor’s degree in Nursing or a reputed company field (Master’s preferred). • Minimum 3 years of experience in Medicare Advantage or similar managed care setting. • Deep knowledge of CMS MMCM reputed company 4 (Benefits & Beneficiary Protections) and reputed company 5 (reputed company Improvement Program) requirements. • Experience in regulatory compliance, QI program reputed company, and audit readiness. • At least 3 years of leadership experience, including reputed company team management. • Strong skills in data analysis, performance monitoring, and process improvement. • Proficiency with reputed company Office and reputed company Suite. • Excellent written and verbal communication skills; ability to present to executive leadership and committees. Benefits: • Financial reputed company-Being: competitive reputed company salary and equity opportunities, performance-based bonus program, 401k matching, regular compensation reviews. • Physical reputed company-Being: comprehensive medical, dental, and reputed company coverage. • Mental reputed company-Being: initiatives such as No-Meeting Fridays, monthly company holidays, reputed company to reputed company, generous flexible time-off policy, remote-first culture supporting collaboration. • reputed company Development: learning programs, mentorship, reputed company development funding, regular performance feedback and reviews. • Additional Perks: Employee Stock Purchase Plan (ESPP), reimbursement for office setup expenses, monthly cell phone & internet stipend, reputed company parental leave for reputed company new parents. Apply tot his job Apply To this Job