Healthcare Quality Programs Manager

4 weeks ago


Nashville, Tennessee, United States Honest Medical Group Full time

Job Title: Healthcare Quality Programs Manager

Job Summary:

We are seeking a highly skilled Healthcare Quality Programs Manager to join our team at Honest Medical Group. As a key member of our quality team, you will be responsible for developing and implementing quality workplans to ensure optimal performance. You will collaborate with internal teams to ensure optimal Consumer Assessment of Healthcare Provider & Systems/Health Outcome Surveys (CAHPS/HOS) performance. The ideal candidate will have a strong background in quality programs, including ACO REACH and STARS, and experience with Medicare Advantage.

Key Responsibilities:

  • Design, develop, and implement partner-specific quality workplans to ensure optimal performance.
  • Develop and implement initiatives to address care gaps, improve patient outcomes, and drive quality performance for each contract.
  • Collaborate with internal teams to ensure optimal CAHPS/HOS performance.
  • Attend partner meetings with quality performance updates, inform on initiatives, and provide recommendations.
  • Ensure the quality team meets deliverables for our partners, communicate risk/known barriers to leadership, and provide guidance to improve measure performance.
  • Monitor key performance indicators (KPIs); intervene as needed and escalate issues where performance falls outside of expected levels.

Requirements:

  • Bachelor's degree in health administration, business, or similar field required.
  • 3+ years of experience with quality programs such as ACO REACH and STARS required.
  • Medicare Advantage experience required.
  • Ability to manage complex, cross-functional, and enterprise-wide projects that align with the overall Stars workplan.
  • Comfortable and experienced with Excel, Word, PPT, Adobe PDFs, experience with downloading reports and documentation from portals and SFTP sites.
  • Data analytics experience preferred.
  • Some travel required, up to 20%.

About Honest Medical Group:

Honest Medical Group is a groundbreaking team of healthcare professionals focused on making a major impact in healthcare. We align every aspect of our company to support patients and providers. We are devoted to purpose and inspired by innovation. We embrace our communities and lead with kindness. We drive health improvements, create a seamless member experience, and eliminate unnecessary cost. We listen to the needs of our patients and our employees—continually working to push beyond the status quo.

What We Offer:

  • Competitive base pay with bonuses.
  • 4 weeks of paid time off starting at full-time employment.
  • 12 paid holidays per year.
  • Reimbursement for continuing medical education.
  • 401k with match.
  • Health, dental, and vision insurance.
  • Family-friendly policies that support paid parental leave and flexible work arrangements.
  • Robust commitment to training and development that starts with onboarding and continues throughout your career with Honest.

Honest is an Equal Opportunity Employer:

Honest is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.



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