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

Under the general guidance of the Quality Management Director, the Manager of Quality Performance plays a central role in continuously improving Alliance’s 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 not only performance improvement data analysis, but also for the development, implementation, monitoring and management of specific clinical strategic interventions including HEDIS and Population Health initiatives aimed at improving member and provider experience, member health outcomes and decreasing cost of care per capita. This position is fulltime remote. While there is no expectation of being in the office routinely, they 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 organization’s 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 • Facilitate clinical quality interventions that are evidence-based to leverage high impact activities for improving member care and outcomes • Integrate, coach, support and grow a diverse highly performing strategic and innovative team; develops the team to be highly skilled and sought after internal experts • Embed continuous improvement principles into the organization’s strategic plan and goals Project Management and Cross-Functional Collaborations • Oversee and monitor the team’s project management activities including data gathering and analysis, discussion facilitation, defining, implementing and monitoring of timelines and milestones • Ensure proper systems, methods and accountability practices are in place to adequately measure team efficacy and efforts where staff are deployed • Evaluate performance improvement approaches and assist 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 • Influence 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 • Maintain extensive knowledge of current regulations and ensure that clinical operations comply with all the applicable requirements Audits and Reporting • Ensure ongoing audit readiness of the area; conducts internal quality assurance audits and reviews as assigned • Identify, escalate and mitigate issues that will significantly impact clinical interventions • Effectively communicate actionable findings at all staff levels • Prepare and maintain detailed reports on quality metrics including findings from audits and corrective actions and as informed by contractual requirements Minimum Requirements Education & Experience Bachelor’s degree in human services, 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 or equivalent certification and/or Project Management Professional (PMP) certification required for position Preferred: Master’s degree preferred Registered Nurse or LCSW, LMFT, LCMHC or Health Plan prior experience with quality and performance improvement preferred Knowledge, Skills, & Abilities • In-depth knowledge of Health Risk Assessments, CAPA processes and root cause analysis methodologies • Knowledge of HEDIS measure and Population Health improvement initiatives • 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 - $99,282/Annual Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. 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 Apply tot his job Apply To this Job