Lead strategic initiatives to improve STARS, CAHPS, PWP, and HEDIS performance across the health plan.
Manage a team of 3-6 direct reports and collaborate with cross-functional teams.
Design and evaluate outreach programs to enhance member experience and close care gaps.
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. It is part of Sentara Health, a not-for-profit integrated healthcare provider with nearly 30,000 employees and a family-friendly culture.
Leverage your experience as a Practice Manager or Clinic Nurse to assist physician offices in improving quality initiatives.
Implement clinical quality improvement activities and generate reports from electronic health records to identify care gaps.
Provide process improvement interventions and educational support to close gaps in day-to-day workflows.
Health Services Advisory Group (HSAG) transforms healthcare delivery in the United States through quality improvement initiatives. As a growing team, they focus on improving the quality of healthcare for communities across multiple states and territories.
Manage and coordinate a formal quality improvement program across a large network of crisis centers to achieve quality improvement goals.
Oversee internal QI activities, ensure adherence to funder and agency goals, and prepare reports for external stakeholders.
Collaborate with other departments to develop proactive QI activities and monitor performance to ensure compliance with operational and clinical KPIs.
Vibrant Emotional Health provides high-quality services and support for emotional wellness through technology-enabled services, community programs, and advocacy. For over 50 years, they have been at the forefront of promoting emotional well-being, with a focus on saving lives and supporting everyone in need.
Drive operational excellence across provider risk adjustment, HCC coding, and value-based care programs while overseeing coding services delivered by domestic and global teams.
Serve as the primary strategic lead and escalation point for health plan and provider clients, maintaining accountability for service quality and client satisfaction.
Manage, mentor, and develop diverse coding teams across locations, ensuring coding activities follow organizational standards and regulatory requirements.
Our partner is a company that drives operational excellence in healthcare through risk adjustment, HCC coding, and value-based care programs. They are a senior leadership focused organization that manages coding services with diverse teams, emphasizing quality and compliance.
Lead clinical programming and quality initiatives, including Stars/HEDIS strategy and risk coding documentation improvement.
Collaborate with Product, Engineering, and Analytics to design AI-enabled clinical tools and workflows.
Drive data-driven outcomes by monitoring metrics and identifying opportunities for intervention and improvement.
Chamber Cardio rebuilds the cardiology system by partnering with independent cardiologists to improve population health through technology, data, and operational tools. They are a mission-driven organization focused on innovation and empathy, blending clinical expertise with modern operating platforms.
Drive day-to-day operational execution of Medicare Advantage and ACA Risk Adjustment initiatives, ensuring milestones and deadlines are met.
Develop and maintain integrated project plans, operational calendars, and risk logs to support program execution.
Monitor program performance through dashboards, KPIs, and operational metrics, and recommend data-driven improvements.
Capital Blue Cross is a health insurance company and an independent licensee of the Blue Cross Blue Shield Association. They are consistently voted one of the 'Best Places to Work in PA' and foster a flexible environment with a focus on employee wellbeing.
Manage quality initiatives and operational processes for value-based care programs. - Analyze data and support reporting functions across ACO programs. - Serve as liaison between providers, vendors, and internal stakeholders.
Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities, offering on-site primary care and Medicare Advantage plans. Founded in 2021, the company serves over 200,000 seniors across 32 states with a team of more than 1,000 clinicians and support staff, and was ranked #147 on the Inc. 5000 list.
Build and scale clinical quality management programs and processes.
Coordinate day-to-day patient safety operations and incident review.
Collaborate with cross-functional teams to improve quality and safety of care.
InStride Health delivers specialty anxiety and OCD care for children and families. It is a growing organization that values heart, smart work, humility, and community.
Lead clinical excellence managers in their region through account management and customer success.
Partner with customers to ensure highest standards of patient care and drive long-range sales plan.
Collaborate with cross-functional teams to align clinical strategies with company objectives.
Outset Medical is a trailblazing medical device company that is revolutionizing dialysis by pioneering groundbreaking technology. They focus on creating a high-performing team obsessed with progress in an atmosphere of transformative opportunities.
Own strategy and execution for go-to-market efforts across Aledade's Risk Stratification program.
Build strategic partnerships with payer partners and large practice leaders to advance accurate diagnosis documentation.
Coordinate cross-functional teams and provide expertise to drive risk stratification initiatives.
Aledade is a public benefit corporation that empowers independent primary care. Founded in 2014, it has become the largest network of independent primary care in the country, fostering a collaborative and remote-first culture.
Own the systems that keep Daymark's clinical quality and safety program credible as it scales, including audits and incident investigations.
Partner with clinical leadership to embed quality standards into daily workflows, not layered on top.
Manage external audits and regulatory reviews, and provide clear-eyed analysis when issues arise.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. It is a growing company backed by leading venture capital firms, with a collaborative culture focused on transforming cancer care.
Apply HEDIS quality measure knowledge to ensure practices and ACOs receive credit for incentivized contract measures.
Access practices in-person or remotely to retrieve documentation and guide gap closure efforts.
Coordinate EHR system access, submit documentation to health plans, and consult with field teams on quality reporting strategy.
Aledade is a public benefit corporation that empowers independent primary care by helping practices thrive in value-based care. Founded in 2014, it is the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Lead patient complaint escalations and investigations to ensure resolution and quality improvement.
Own and evolve the clinical audit program using AI-powered chart review to identify quality signals.
Build frameworks for clinician coaching and quality benchmarks to drive clinical excellence.
Midi Health provides clinical care for women in midlife, with a focus on menopause and hormone therapy. They are a mission-driven company building scalable quality frameworks.
Design and implement quality measures for national accountability programs and the organization's suite of quality programs, including Get With The Guidelines.
Support advanced data analytics, preparing reports and coordinating feasibility, reliability, and validity testing with internal statisticians.
Develop and maintain standardized documentation, including Clinical Quality Language specifications and value set databases.
The American Heart Association has been reducing cardiovascular disease deaths since 1924, driving breakthroughs in science, policy, and care. They offer a supportive culture with resources like Heart U and Employee Resource Groups, emphasizing work-life harmonization and professional development.
Lead healthcare equity strategy and performance improvement initiatives across the organization.
Partner with cross-functional teams to design, implement, and scale interventions that reduce clinical disparities.
Develop metrics, reports, and decision-support tools to track outcomes and drive continuous improvement.
Aledade is a public benefit corporation that empowers independent primary care by creating value-based contracts and strengthening continuity of care. Founded in 2014, it has become the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.