RN Licensed Clinical Quality Manager

Job Summary

A company is looking for a Clinical Quality Manager for Population Health focused on the Medicare Shared Savings Program (MSSP).

Key Responsibilities

• Leads system-wide population health projects and initiatives, developing implementation plans and operational workflows
• Provides subject matter expertise on value-based quality measures and enhances contract performance through data validation
• Directs a team of Population Health Coordinators to support quality outcomes and performance within value-based care programs

Required Qualifications, Training, and Education

• Current RN License in the state of work or covered by compact (required)
• BSN or Bachelor's in Healthcare or related field (required)
• 7 years of business/healthcare experience in leadership, healthcare quality, and project management (required)
• Experience with MSSP, NCQA, CMS, and HEDIS (required)
• MSN or Master's in Business, Healthcare Administration, or related field (preferred)