Manager - Quality Programs

We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.

The Manager, Quality Programs will lead the execution of identified/approved operations, quality, and population health plans/roadmaps in support of both department and organizational goals/objectives. The Manager will provide direction in the priority, assignment, and distribution of work across the team, including evaluation and consolidation or synchronization of activities to achieve maximum performance and return on investment.

In conjunction with the Director, the Manager will work closely with all areas of Health Care Services/Population Health Management as well as key business units in the organization to understand business goals, as well as assist in translating vision into required work activities for the team. In addition, the Manager will be responsible for understanding, monitoring quality performance targets and benchmarks, and leading the team in developing, implementing and evaluating interventions that support the quality program, achieving identified quality and value targets/benchmarks, promoting operational efficiency and effectiveness, managing dependencies and identifying and mitigating risks. The Manager will be accountable for the impact, value, and performance of the team through dashboard/metric reporting.

This position will provide leadership and development for the team in the areas of program/project management, achieving results through influence, and promotion of teamwork and accountability in a performance-based work environment. The Manager will represent the department on cross-functional teams and as requested by the Director.

• Bachelor's degree or Registered Nursing License (RN) required. Master's degree preferred. An additional four (4) years of experience will be considered in lieu of degree.
• Five (5) years of experience in operations delivery or project/process management required.
• Two (2) years of progressive leadership/management responsibility required.
• Healthcare/health insurance industry experience preferred.
• Strong leadership skills and the ability to establish strategic relationships and foster alignment between business objectives, talent development and organizational activities.
• Understanding of project management tools and methodologies (Ishikawa diagram, brainstorming, etc.).
• Knowledge of emerging technologies, healthcare improvement strategies, and evolving reimbursement mechanisms strongly preferred.
• Solid understanding of Health Plan Accreditation (e.g., NCQA, URAC) standards, NYSDOH and CMS regulations, and HEDIS, QARR, and Star measures required.
• Experience in developing, implementing and evaluating quality improvement programs required. Solid understanding of improvement science methods (e.g., Model for Improvement, Plan-Do-Study-Act) and quality improvement techniques preferred.
• Skill in organizing resources and establishing priorities.
• Ability to concisely, logically, and confidently present complex issues verbally and in writing to all levels within the organization.
• Excellent verbal, written and interpersonal communication skills required.
• Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.

Leadership Accountability

• Provide team leadership for achieving results through influence, and promotion of teamwork and accountability in a performance-based work environment.
• Establish and maintain the staffing and skills for self and team required to effectively meet the needs of the organization.
• Maintain cross-departmental communication of initiatives; solicit feedback and buy-in from appropriate stakeholders.
• Monitor staff performance against established objectives; maximize efficiency, performance, and results of the team.
• Facilitate the escalation and resolution of critical issues.
• Develop and implement process improvements to gain/maintain departmental efficiencies.
• Develop appropriate objectives and metrics to measure team success.
• Implement corrective actions where necessary.

Quality Improvement Management

• Analyze and prioritize portfolio of business opportunities to support and achieve department strategies, goals, and objectives.
• Work within the organizational matrix to identify opportunities to improve operational efficiency and effectiveness.
• Ensure visibility to initiatives, as appropriate, within the department or organization to aid in associate engagement and buy-in to change initiatives.
• Maintain repository of end-to-end program/project documentation that supports business objectives, goals, compliance, and regulatory audits.
• Ensure goals and objectives are met, services and projects are being implemented efficiently and effectively.
• Produce status reports on a regular frequency to showcase accomplishments, planned activities, risks/barriers and other meaningful and/or relevant information.
• As necessary, ensure appropriate external communications are provided to the right audiences/constituents, are coordinated, timely, accurate and meaningful.

Quality Improvement and Execution

• Provide leadership to the team in the development, coordination, measurement and ongoing monitoring of quality assurance and performance improvement initiatives.
• Create and maintain annual work plans and evaluations.
• Provide leadership and direction for the Quality Improvement Work Group. Participate in professional work groups, quality improvement projects and committees as assigned.
• Ensure departmental compliance with regulatory and accreditation standards.

Relationship Management

• Promote horizontal and vertical communication between the quality management team and internal stakeholders.
• Develop and maintain strong relationships with key stakeholders, including leadership, front-line associates, and external partners.
• Meet with stakeholders to solicit feedback on their needs and the effectiveness of initiatives completed.
• Review business performance metrics and plans to proactively offer/discuss improvements with stakeholders.
• Represent the department on cross-functional teams and as requested by the Director, including external community collaboratives.

Immigration or work visa sponsorship will not be provided for this position

Hiring Compensation Range: $95,000 - $115,000 annually

Compensation may vary based on factors including but not limited to skills, education, location and experience.

In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.

As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant's race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here for additional EEO/AAP or Reasonable Accommodation information.

Current Associates must apply internally via the Job Hub app.