Quality Program Manager

4 days ago


Kansas City, Missouri, United States Upward Health Full time
Job Overview

Upward Health is a home-based medical group that delivers primary medical and behavioral care to individuals with complex needs. Our mission is to provide high-quality care directly in the community, reducing barriers to healthcare access.

Key Responsibilities
  • Lead quality improvement initiatives to optimize care delivery and coordination.
  • Analyze health plan data to identify trends and areas for improvement.
  • Develop and implement action plans to address quality gaps and improve performance.
  • Collaborate with multidisciplinary teams to address quality and safety issues.
  • Ensure compliance with federal, state, and payer regulations, including NCQA standards.
Requirements
  • Extensive experience in quality improvement within a healthcare setting.
  • Experience in population health management (HEDIS, Stars Rating).
  • Working knowledge of CMS requirements for an integrated medical home and primary care (Medicare, Medicaid).
  • Working knowledge of payer and provider requirements, specifically for Patient Center Medical Home (PCMH), NCQA standards.


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