
Quality Manager
- 🇺🇸 United States
- Manager or above
- 1 day ago
- CMS
- EHR
- HEDIS
Employment Type:
Full timeShift:
Description:
Loyola Physician Partners is seeking a highly experiencedManager of Quality to lead quality improvement, performance management, and quality reporting initiatives across a clinically integrated network comprised of Loyola-employed physician practices and independent affiliate providers.
Reporting to theDirector of Operations, Clinically Integrated Network, this leader will oversee a team of Quality Nurse Specialists and drive network-wide strategies that improve clinical outcomes, physician performance, patient experience, and success in value-based care programs. The ideal candidate is a collaborative healthcare leader with strong quality, population health, and performance improvement experience who can translate data into meaningful action and results.
What You'll Do
Leadership & Team Management
- Provide leadership, direction, and oversight to a team of Quality Nurse Specialists.
- Establish team priorities, monitor performance, and support professional growth and development.
- Foster a culture of accountability, collaboration, continuous improvement, and patient-centered care.
- Serve as a subject matter expert and trusted advisor on healthcare quality and performance initiatives.
Quality Improvement & Performance Management
- Lead and oversee quality improvement initiatives across the Loyola Physician Partners network.
- Develop and implement standardized quality improvement strategies across employed and affiliated physician practices.
- Identify opportunities to improve clinical outcomes, patient care, and quality performance through data analysis and stakeholder engagement.
- Collaborate with physicians, practice leaders, and operational teams to design and implement performance improvement interventions.
Value-Based Care & Quality Reporting
- Oversee quality reporting requirements for MSSP ACO, Medicare Advantage, and other value-based care programs.
- Monitor evolving CMS, payer, and regulatory quality requirements and ensure organizational readiness.
- Ensure accurate, timely, and compliant quality reporting across the network.
- Lead efforts to improve performance on quality measures tied to value-based reimbursement programs.
Data, Analytics & Strategic Planning
- Manage quality performance monitoring, reporting, and analysis.
- Translate quality data, trends, and performance metrics into actionable recommendations for physician and operational leaders.
- Partner with analytics and information technology teams to ensure data integrity and reliable reporting.
- Prepare and present quality performance updates to physician leadership, operational teams, and governance committees.
Stakeholder Collaboration
- Partner with physicians, clinical leaders, practice managers, population health teams, and operational stakeholders to achieve organizational quality goals.
- Support practice-level coaching and performance improvement efforts.
- Build strong relationships across the network to drive engagement and sustainable results.
What You'll Need
Required Qualifications
- Bachelor's degree in Healthcare Administration, Public Health, Nursing, Health Informatics, Business Administration, or a related field.
- Five (5) or more years of experience in healthcare quality, population health, performance improvement, value-based care, or a related healthcare environment.
- Demonstrated experience leading quality improvement initiatives across physician practices, ambulatory care settings, or healthcare networks.
- Experience leading, coaching, or managing clinical quality staff.
- Strong understanding of: Quality measurement and reporting Performance analytics Population health management Value-based care programs Regulatory and payer quality requirements
- Strong project management, leadership, communication, analytical, and stakeholder management skills.
- Ability to effectively communicate quality performance and strategy to both clinical and non-clinical audiences.
Preferred Qualifications
- Master's degree in Healthcare Administration (MHA), Public Health (MPH), Nursing (MSN), Business Administration (MBA), or related field.
- Experience working with MSSP ACO quality reporting and Medicare Advantage quality programs.
- Experience with electronic health record (EHR) quality reporting and clinical data analysis.
- Experience leading practice transformation, quality coaching, or large-scale network quality improvement initiatives.
- Knowledge of: eCQM reporting MIPS measures HEDIS measures CMS quality programs Other value-based care reporting methodologies
Compensation:
Salary Range: $36.12 - $57.80/hr
Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles.Â
Benefits:Â
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Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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