Senior Quality Manager jobs at CVS Health

Your experience matters Raleigh General Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Director, RN Quality & Risk Management, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Director, RN Quality & Risk Management who excels in this role: Directs, controls and evaluates the activities, functions, and management of personnel within the Quality/Performance Improvement, Risk Management, and Medical Staff Office departments as well as effectively managing and meeting fiscal goals defined for these departments. Responsible for facility-wide regulatory compliance. Serves as the Patient Safety Officer and Ethics and Compliance Officer. Achieves operational management among leadership, medical staff, and clinical employees to continually improve patient care outcomes. Implements the vision and strategies of the Senior Leadership team as a dynamic leader with excellent communication skills and the ability to motivate and continually advance clinical practice and patient experiences. Oversight and continued implementation of the Ethics & Compliance Program and the facility's compliance with requirements of federal health care programs. Conducts independent investigations on compliance issues and ensures all standards and policies are communicated to each colleague, agent and independent contractor according to the requirements of each position and then adhered to accordingly. Fosters and environment where colleagues know they can raise concerns or report suspected code violations. Coordinates CMS/TJC Core Measures activities. Plans, organizes, and implements Regulatory and Accreditation programs. Serves as liaison between the hospital and accreditation/regulatory agencies, both on a Federal and State level. Schedule: This leadership position is a Full time, Exempt and Benefited position. Work hours are general business hours Monday - Friday. What we're looking for Applicants should have a current state RN license and possess a bachelor's degree from an accredited nursing school. Additional requirements include: Basic Life Support certification is required CPHRM and CPPS obtained within first two years of employment Minimum 5 years RN acute care experience preferred Previous clinical risk management and RN Supervisory or RN leadership experience preferred. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. More about Raleigh General Hospital People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Raleigh General Hospital is a 300 bed facility caring for nearly 13,000 patients each year with over 50,000 being treated in our emergency room. We offer a wide range of surgical services as well as specialty programs including Cardiac CTA, Digital Mammography, and Trauma Services. Raleigh General Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law. Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

Department: Quality and Clinical Standard Work Type: Full Time Shift: Shift 1/8:00:00 AM to 5:00:00 PM Minimum to Midpoint Pay Rate:$42.09 - $56.83 / hour Summary: Reporting to the System Director of Quality and Clinical Standardization, this dynamic leadership role drives the development and implementation of evidence-based clinical standards and practice guidelines across Lee Health. Working within the Clinical Collaboration Council (CCC/CCW) structure, the Clinical Standardization Leader plays a pivotal role in advancing systemwide excellence by reducing variation, improving outcomes, and enhancing the patient experience. This position requires a strategic thinker with strong clinical insight, data-driven decision-making skills, and the ability to engage multidisciplinary teams in meaningful, sustainable change. The ideal candidate is a collaborative change agent who thrives in a culture of continuous improvement and innovation. Key Responsibilities: Lead the development and implementation of standardized clinical practices aligned with evidence-based medicine and best-practice consensus. Partner with physicians, nursing, and operational leaders to promote systemwide collaboration and accountability. Analyze and interpret clinical and financial data to identify improvement opportunities and measure outcomes. Facilitate interdisciplinary teams to drive consensus, manage change, and deliver measurable results in quality, safety, and efficiency. Promote a culture of continuous performance improvement through education, mentoring, and communication. Requirements Education: Masters degree in Nursing or a related healthcare field required. Experience: Demonstrated experience in quality improvement, risk management, or process redesign required. Proven ability to lead teams through change with positive, measurable outcomes. Strong analytical, problem-solving, and facilitation skills. Extensive clinical knowledge preferred; may be developed under mentorship of senior leaders. Licensure: Active Florida RN license or license in a healthcare-related field required. Certifications: Quality and safety certifications preferred (e.g., CPHQ, CPPS, DMAIC, Lean Six Sigma). Skills & Attributes: Visionary leader and effective communicator. Creative, self-motivated, and results-oriented. Skilled in data interpretation, performance measurement, and lateral integration of care. Demonstrated ability to collaborate across disciplines and drive system-level improvements. US:FL:Fort Myers

Work Shifts 9:00 A.M - 5:00 P.M Duties & Responsibilities Under the direction of the Budget Director (Corporate), compiles, administers and obtains approvals of the Capital Facilities Budget; evaluates project proposals, monitors and reports regularly on project status; maintains Corporation records of funds, contracts and cash outlays. Develops, recommends and implements criteria and procedures to improve the effectiveness of the Corporation's facilities improvement programs. Examples of Typical Tasks Directs annual budget cycles which include receipt and program and fiscal analysis of capital requests and Article 28 applications from health care facilities. Evaluates requests and makes recommendations to Director of Planning for funding and work orders. Obtains approvals of Capital Budget, Programs and Contracts from the City, Board of Estimate, Financial Control Board, HSA and State Health Department. Generates project cost data and establishes criteria procedures necessary to maintain a sound investment strategy and to sustain effective participation by the hospitals, community boards and regulatory and financing agencies in our facilities improvement programs. Monitors and reports regularly on Capital project status to the Corporation and the City of New York using a computerized Management Information System. Maintains records of capital funds, expenditures and cash outlays. Certifies capital funding for expenditures and estimates costs for fixed asset accounting and reimbursement reporting. Interfaces with City Comptroller and land and construction agency records to establish costs of construction, debt management and related services furnished by the City for Corporation purposes and maintains separate records of these cost auditable to City source records. Assists in audits of financial records as required by the Corporation, the City Comptroller, City Construction Board, State Emergency Financial Control Board and reimbursement agencies. Prepares forecasts of fund and cash requirements and requisitions cash from the City Capital Project Fund. Administers an employee time recording and billing system to record time and cost of staff design and construction services for each capital project and vouchers and receives cash from the city Capital Project Fund for staff services provided under interfund agreements. Administers contract change control requirements. Evaluates purchase and contract regulations, procedures and standard contracts and certifies purchase and receipt of all major equipment and permanently identifies the piece and record data in the major equipment inventory control system. Develops procedures with criteria for Prequalification of Contractors as provided in Section 8 of the Corporation Act. Solicits, evaluates and communicates prequalification status to all contractors maintaining lists and individual contractor financial and experience records. Serves as a member of the Architectural and Engineering Selection Board. Supervises and directs the staff assigned to assist in the performance of these major duties and evaluates employee performance. Minimum Qualifications 1. A Masters Degree in Business Administration, Science, Health Care Administration, Engineering or related discipline from an accredited college or university or a license as a Professional Engineer or registration as an Architect; and, 2. Eight years managerial experience in Capital Program or budget work in the construction field including four years experience in budget administration and management of health care facilities; or, 3. A satisfactory equivalent combination of education, training and experience. Department Preferences Preference will be given to qualified candidates with the following knowledge, abilities, education, experience and/or skills: EDUCATION: A Master's degree from an accredited college or university in Hospital Administration, Health Care Planning, Business Administration, Public Administration or an approved related program. LICENSE: A New York State license as a professional engineer or registered architect or a license as a professional engineer or registered architect from a state that has reciprocity with New York State may be substituted for the four years of education and experience. EXPERIENCE: At least 10 years of related experience in design and/or construction management with experience in healthcare clinics; or as a journeyperson in one or more of the skilled building construction trades. Full-time satisfactory experience in planning, design and program development pertaining to meeting health needs, health care planning, design and program implementation, with at least three years of responsible level administrative experience coordinating the planning, design, and construction and commissioning. KNOWLEDGE IN: Thorough knowledge of the principles, practices and methods of Healthcare and Space Management. Long Term Capital Planning Design Management, Construction Management, Budget Management and Time Management Negotiations Regulatory (DOB, FDNY, DOH) Close outs SKILLS: Excellent verbal / written skills. Excellent technical, conceptual, and financial skills. Motivate team efforts to accomplish goals. COMPUTER PROGRAMS/SOFTWARE OPERATED: Microsoft Word and Excel (required) Microsoft Access, MS Project Auto CADD/Revit. Procore/E-builder or similar

Under the direction of the Vice President and Chief Quality Officer, the Director of Quality Improvement is responsible for developing and implementing the organization's Performance Improvement plan and priorities consistent with regulatory standards and evidence based best practices. As a member of the leadership team, serves as a role model and leader to colleagues and staff throughout the organization. Thoughtfully develops and implements initiatives to achieve improvements consistent with hospital strategic priorities. Promotes a culture that is positive, that values individual strengths, and is committed to optimal patient care, and compliance with regulatory standards. This position is responsible for direct supervision of the Quality Analyst and Quality Improvement Specialist and serves as the Stroke Coordinator. Key responsibilities include: • Strategic focus on improving quality. Responsible for goal setting and achievement using SJMC established Performance Improvement methodology and analytic tools. Defines measurable and actionable metrics and ongoing monitors to sustain performance. • Identifies and drives analytic needs for improvement projects/initiatives. Supports leaders in development of problem charter and selection of the best tools for data analysis. Mastery of basic statistical concepts, tools and techniques and working knowledge of improvement tools and techniques. Teaches/mentors others on basic topics and able to assist others with advanced topics. • Serves as Stroke Coordinator and supports the Stroke Program including defining and developing structure, process and outcome measures, policies, accreditation and facilitating and actively developing initiatives to meet and exceed evidence-based care metrics for stroke patients. • Lead and/or facilitate complex multidisciplinary improvement teams as needed to achieve quality and performance improvement goals. • Responsible for oversight of data collection, measurement, and data analysis for organizational, federal and state quality metrics. • Coordinate mortality, patient complaint, and outcome reviews. • Serve as a regulatory resource regarding state and federal regulations and standards, including but not limited to CMS, TJC, and NYS. • Create and present data needed for evaluation and appropriate action by committees, leadership, and quality improvement teams. • Represents the organization within and external to the community when required. • Assist in improving patient experience through analysis of data and implementation of initiatives to improve performance. Requirements: • Bachelor's Degree or commensurate experience required. • Registered Nurse in New York State required • Master's Degree in Healthcare specialty preferred • Current certification as CPHQ strongly preferred. Certification required within 3 years of hire date. • Previous managerial experience preferred. • Competence in Microsoft office products including PowerPoint and Microsoft Excel. • Familiarity with health care clinical operations and processes in an acute care hospital setting. • Familiarity with regulatory requirements as related to hospital setting. Other Requirements: • The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull less than 10 pounds, and occasionally lift, carry or push/pull up to 10 pounds. • While performing the duties of this Job, the employee is regularly required to perform activities that require fine motor skills. The employee is frequently required to do repetitive motion, hear, reach, sit, and speak. The employee is occasionally required to walk. • Specific vision abilities required by this job include color vision, far vision, and near vision. • The noise level in the work environment is usually quiet. Salary: $170K-$180K Saint Joseph's Medical Center is an equal opportunity employer.

Modular Services Company is a medical product design and manufacturing leader, specializing in advanced prefabricated products such as Medical Headwalls, Footwalls, Sinkwalls, Fixed/Rotating Columns, and Movable Boom Systems. Headquartered in Oklahoma City, Oklahoma, the company focuses on innovative solutions to enhance healthcare environments. Modular's products are engineered to improve medical facility efficiency and patient care. The company remains dedicated to delivering tailored solutions to meet the unique needs of healthcare providers. Role Description This is an on-site, full-time position located in Oklahoma City, OK. The Quality Assurance Manager will oversee quality control processes and ensure all products comply with company and industry standards. Responsibilities include developing and implementing quality assurance strategies, conducting audits, managing a team to monitor processes, and leading continuous improvement initiatives. The individual will collaborate across teams to enforce production quality standards and address any quality-related challenges. Qualifications Strong experience in Quality Assurance, Quality Control, and process improvement methodologies Proficiency in conducting audits, managing teams, and implementing quality assurance strategies Knowledge of medical product design or manufacturing processes is preferred Excellent problem-solving, decision-making, and leadership skills Strong verbal and written communication abilities to collaborate across teams and departments Proficient in relevant quality assurance tools, metrics, and software Ability to work on-site full-time in Oklahoma City, OK Bachelor's degree in Quality Management, Engineering, Manufacturing, or a related field, with applicable certifications being a plus

Quality/Risk Director Career Opportunity $93,000 - $180,000 Highly regarded and valued for your Quality/Risk Director expertise Are you seeking a career that not only utilizes your skills but also aligns with your personal values, providing a profound sense of belonging and the opportunity to make a meaningful difference in patients' lives? Look no further than Encompass Health, the nation's leader in in-patient rehabilitation care. As a Quality/Risk Director, you will oversee a hospital-wide quality management program, collaborating with various stakeholders to monitor and enhance the quality of patient care services. Join a team that values collaboration, support, and inclusivity, and embark on a rewarding career close to home and close to your heart, complete with access to cutting-edge equipment and technology and a comprehensive benefits package from day one. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to: Affordable medical, dental, and vision plans for both full-time and part-time employees and their families. Generous paid time off that accrues over time. Opportunities for tuition reimbursement and continuing education. Company-matching 401(k) and employee stock purchase plans. Flexible spending and health savings accounts. A vibrant community of individuals passionate about the work they do! Become the Quality/Risk Director you've always aspired to be Ensure compliance with regulatory agencies, accrediting bodies, corporate and hospital policies, and procedures. Develop, implement, and maintain quality assessment and improvement programs. Assess compliance with federal, state, and industry regulatory and accreditation standards, facilitating processes to remediate and/or maintain compliance. Provide organizational education related to regulations and standards and coordinate local, state, federal, and accreditation surveys. Use a variety of applications (including, but not limited to, PatCom, UDS, ORYX, and Press Ganey) to identify improvement opportunities, generate reports, research issues, identify resources, and access external databases. Ensure the update and maintenance of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager. Coordinate the review, development, and implementation of hospital policies. Communicate and collaborate with other departments to coordinate care and promptly resolve patient concerns or complaints. Celebrate the accomplishments and successes of our dedicated employees along the way. Qualifications A bachelor's degree in healthcare or a related field is preferred. License or Certification as required by state regulations. Experience in Quality and/or Risk Management, including primary responsibility for performance improvement activities, regulatory compliance, conflict solution, leadership, and risk management activities. We're looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey! #LI-KC1 The Encompass Health Way We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing! At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.

Hello Heart is on a mission to change the way people care for their hearts. The company provides the first app and connected heart monitor to help people track and manage their heart health. With Hello Heart, users take steps to control their risk of heart attacks and stroke - the leading cause of death in the United States. Peer-reviewed studies have shown that high-risk users of Hello Heart have seen meaningful drops in blood pressure, cholesterol and even weight. Recognized as the digital leader in preventive heart health, Hello Heart is trusted by more than 130 leading Fortune 500 and government employers, national health plans, and labor organizations. Founded in 2013, Hello Heart has raised more than $138 million from top venture firms and is a best-in-class solution on the American Heart Association's Innovators' Network and CVS Health Point Solutions Management platform. Visit ****************** for more information. About the Role: As Manager, Quality and Manufacturing, you will own both quality engineering and manufacturing engineering functions for our hardware products. You will ensure production readiness, product quality, process capability, and smooth issue resolution from prototype through mass production. Reporting into our Senior Director, Product and Manufacturing Operations, you will collaborate closely with suppliers, engineering, program management, and operations teams. You will create the structure, tools, and processes that enable consistent, high-quality manufacturing outcomes. Responsibilities Validate manufacturing readiness for NPI builds, including tools, fixtures, process flow, and documentation Partner with engineering teams on DFM and DFA reviews, qualification testing, and readiness milestones Create and maintain quality control plans across IQC, IPQC, and OQC processes Define and implement manufacturing process controls, test requirements, and build validation plan Lead structured root cause analysis using 8D, 5 Why, and Fishbone methodologies Drive corrective and preventive actions and verify long-term effectiveness Conduct line audits, capability studies (Cp and Cpk), and SPC monitoring to assess process health Monitor yields, reduce defects, and drive continuous improvement across production lines Assess supplier capability and lead onsite production reviews and factory evaluations Define incoming inspection criteria, sampling plans, and supplier quality alignment Maintain detailed build documentation, quality dashboards, and audit reports Qualifications 7+ years of experience in quality engineering, manufacturing engineering, or a related hardware-focused discipline Hands-on experience with production lines, fixtures, test equipment, and hardware manufacturing processes Strong understanding of quality systems including ISO 9001, ISO 13485, PFMEA, SPC, and Six Sigma Proven experience leading root cause analysis and driving corrective actions Experience working with contract manufacturers and suppliers, preferably in Asia Strong analytical skills with the ability to interpret yield trends, SPC data, capability studies, and defect data Excellent communication skills with the ability to present findings and recommendations Experience supporting NPI builds and high-volume product ramp is preferred Familiarity with reliability testing and environmental qualification is preferred Knowledge of hardware system integration spanning mechanical and electrical components is preferred Experience with DOE, process optimization, or Lean Manufacturing is preferred Mandarin language proficiency is a plus The US base salary range for this full-time position is $140,000.00 to $160,000.00. Salary ranges are determined by role and level. Compensation is determined by additional factors, including job-related skills, experience, and relevant education or training. Please note that the compensation details listed in US role postings reflect the salary only, and do not include equity or benefits. Hello Heart has a positive, diverse, and supportive culture - we look for people who are collaborative, creative, and courageous. Oh, and if you want to see some recent evidence of the fun things we do at Hello Heart, check out our Instagram page.

A bit about this role: The IP Quality Program Manager for Inpatient is a high-impact, hands-on leader responsible for driving clinical quality, regulatory compliance, and operational efficiency across the Utilization Management (UM) department. This role combines advanced UM expertise, AI/LLM integration, and data-driven decision-making to transform clinical review, audit, and workflow operations. The Program Manager will oversee all Quality activities within the Inpatient Team, lead AI-powered audit initiatives, and ensure all IP processes meet Regulatory and CMS Regulations. This is a fast-paced, high-change environment requiring someone who thrives on operational challenges, can manage multiple priorities simultaneously, and is comfortable leading innovation at the intersection of clinical operations and technology Your Responsibilities and Impact will include: Lead New Hire Onboarding & Development - Build and maintain standardized training, assess learning milestones, and provide targeted re-education to support progression into more complex clinical reviews. Monitor & Improve OD Compliance - Partner with Compliance, A&G, and UM leadership to track OD timeliness, accuracy, and overturns; use insights to mitigate risk and drive continuous improvement. Integrate CMS Regulatory Updates - Stay current on OD-related CMS changes and embed updates into SOPs, training materials, and clinical review practices; proactively re-educate staff. Drive Clinical Decision Quality - Evaluate clinical decision-making for accuracy, consistency, and adherence to evidence-based criteria; use audits to identify trends and direct interventions. Lead Remediation & Quality Improvement - Develop and deliver corrective action plans, workflow refinements, and policy updates based on error patterns or emerging risks. Provide SME Guidance & Real-Time Coaching - Serve as a clinical and operational resource; support staff with real-time problem solving and reinforce best practices. Deliver Ongoing Education & IRR - Conduct in-services, case studies, and cross-functional learning sessions; manage IRR reviews and implement training based on results; maintain a comprehensive learning library. Maintain Clinical Tools & SOP Alignment - Curate job aids, decision tools, and supplemental materials; support annual SOP reviews to ensure accuracy, consistency, and compliance. Support Team Operations & Cross-Functional Work - Participate in weekly assignment planning, team meetings, committees, workflow changes, and partner-department initiatives; respond to interdepartmental questions. Advance AI/LLM Adoption in Clinical Practice - Utilize AI/LLM models to strengthen decision quality and predictive analytics; implement AI-driven tools; train staff on effective use of AI in clinical workflows. Required skills and experience: Strong clinical expertise with an unrestricted RN license and 5+ years of nursing experience, including at least 4 years in health plan Utilization Management; prior provider-side clinical experience preferred. Demonstrated leadership, collaboration, and coaching abilities, with experience training or teaching nurses/clinicians in complex clinical and regulatory topics. Advanced analytical, strategic thinking, and problem-solving skills, with the ability to navigate complexity and balance multiple priorities in a fast-paced or startup environment. In-depth knowledge of Medicare Advantage, CMS guidelines, and regulations governing claims, appeals, and grievances, with proven ability to apply compliance requirements in daily operations. Experience with AI/LLM technologies, including applying AI tools to clinical decision-making, operational workflows, or reviewer support. Member- and colleague-centric mindset, demonstrating empathy, service orientation, and commitment to high-quality, compliant care delivery. Desired skills and experience: Certified InterQual Trainer and/or Certified Coder #LI-DS1 #LI-Remote Salary Range: $80,000-$120,000 / year The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce. At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

Working title: Clinical Quality Program Manager Classification title: Medical and Health Services Managers (11-9111) Department: CHC Program: CHC Admin Reports to: Senior Director of Clinical Operations Support FLSA status: Exempt: Full-Time Wage Range: $62,35 to $87,896 annually; based on number of years of transferrable experience and internal equity RiverStone Health: Serving the Yellowstone County community and south-central Montana for nearly 50 years, RiverStone Health is an essential provider of personal and public health services. Health, Education, Leadership and Protection - HELP is what we do. From medical, dental and behavioral healthcare; home care and hospice; public health services like immunizations, WIC, health promotion and restaurant inspections; and educating the next generation of health professionals, our expertise spans all ages and stages of life. Underlying principles of access, affordability, compassion and quality in all interactions, RiverStone Health improves life, health and safety for all of the communities we serve. Program Overview: The Clinical Quality Program Manager will lead and oversee the development, implementation, and ongoing evaluation of clinical quality initiatives across our Federally Qualified Health Center (FQHC), which is recognized as a Patient-Centered Medical Home (PCMH). This position plays a critical role in advancing the organization's mission to provide high-quality, equitable, and patient-centered care to underserved and diverse populations. The Clinical Quality Program Manager will be responsible for designing and executing strategies to enhance clinical outcomes and population health to improve patient experience, and ensure compliance with regulatory and accreditation standards, including HRSA, UDS, PCMH, and NCQA guidelines. This role involves close collaboration with medical, nursing, behavioral health, dental, and administrative leadership to foster a culture of continuous quality improvement (CQI), evidence-based practice, and data-driven decision-making. Job Summary: Key responsibilities include leading quality improvement initiatives and projects, managing clinical performance metrics, ensuring timely and accurate reporting for internal and external stakeholders, and guiding the organization in achieving excellence in care coordination, chronic disease management, and population health outcomes. The Clinical Quality Program Manager will champion universal care delivery, leveraging health information technology, informatics and data analytics to reduce disparities and enhance outcomes across the full spectrum of services provided by the health center. This leader will also oversee quality improvement staff and play a key role in provider engagement, education, and performance feedback. Essential Functions/Major Duties and Responsibilities: A. Program Management 50% * Oversight of all clinical quality including monitoring, validating, improving and reporting. * Ensure computerized record management systems are adequate, communicate IT issues and recommend improvements. * Ensure confidential information is safe guarded. * Plan, implement, and administer projects and other quality improvement initiatives. * Maintain awareness of advances in equipment, IT software, data processing, government regulations and financing options. * Monitor the use of equipment, inventory, facilities and other program resources that affect services provided, including those internal and external to RiverStone Health. * Manage change in integrated health care delivery systems, such as work restructuring, technological innovations, and shifts in the focus of care. * Maintain communication between staff, leadership and other stakeholders by attending meeting, and coordinating interdepartmental functions, maximizing effectiveness and efficiency of interdepartmental operations. * Establish objectives and evaluative operational criteria. * Develop, implement, and ensure adherence to policies and procedures. * Review and analyze facility activities and data to aid planning, risk management and to improve service utilization. * Prepare activity reports to inform management of the status and implementation plans of programs, services, and quality initiatives. * Manage and lead complex programs and services utilizing effective communication, knowledge, resources, and business processes maximizing customer service. * Consult with medical, business, and other local community groups to discuss service problems, respond to community needs, enhance public relations, coordinate activities and plans, and promote RiverStone Health programs. * Develop Quality improvement instructional materials and conduct in-service and community-based educational programs. * Coordinate the operational implementation of EHR and Information System changes as they relate to clinical processes. B. Program-specific duties 45% * Ensure compliance with all relevant grant requirements including, but not limited to, the Health Resources and Services Administration (HRSA) Operational Site Visit Protocol, FTCA requirements, and NCQA Requirements as related to quality improvement. * Attend meetings, conferences, workshops, and training sessions to become and remain current on developments in areas surrounding quality improvement, project management and community health centers. * Oversees the management and effective implementation of Value Based Care and insurance Payor Contracts. * Lead and facilitate the Project Management process in the health center, to ensure adherence to established priorities and appropriate resourcing for successful project implementation. Including multiple concurrent projects with teams of 3 - 20 members. * Support and encourage innovation from all levels of staff while balancing available resources. * Lead when appropriate and activity participate in RSH projects and committees. * Ensure adherence to a robust Quality Improvement Program and culture, including implementation of a board-approved Quality Improvement Plan and associated procedures, guidelines and education. Actively engage in personal and professional development in Quality Improvement, Project Management, Informatics and other relevant topics, actively identifying and completing self-education as well as recommending and facilitating education for CHC leadership and staff. * Research, implement and manage population health activities that lead to improved patient care, experience, and safety. * Collaborate and share quality improvement practices throughout the state with other health centers. * Ensure that efforts for improvement include a focus on health equity, and that potential disparities in care are addressed. * Champion the adoption of new technologies and practices that support the CHC's commitment to high-quality care. Non-Essential Functions/Other duties as assigned ≥5% * Perform other duties as assigned in support of RiverStone Health's mission and goals. Education and Experience: Minimum Qualifications * Three years of related Health care experience in a quality improvement role, including leading teams. * Project management experience. * Proficiency in data analysis, informatics, and electronic health systems (EHR). * High School Diploma or equivalent * Any combination of experience and training which provide the equivalent scope of knowledge, skills, and abilities necessary to perform the work. Preferred Qualifications: * Bachelor's degree in a related field * Experience in health care operations and federally qualified health center preferred. * Experience working with underserved population * Medical Terminology Required Certificates, Licenses, Registrations: * Valid Montana State Driver's License * Lean/Six Sigma Yellow Belt (must achieve within 1 year of hire) Knowledge, Skills, and Abilities: * Computer literacy, in Microsoft Office Suite. * Ability to maintain a calm and positive demeanor during difficult interactions. * Ability to display non-judgmental and empathetic listening skills. * High degree of detail-oriented skill level. * Knowledge and understanding of protected sensitive patient health information (HIPAA) and confidentiality. * Educate staff and show through example, the significance and meaning of working collaboratively to maintain a positive work environment. * Ability to perform job duties with integrity and innovation to ensure completion and a high level of quality. * Ability to understand and adhere to required administrative policies and procedures. * Excellent communication skills to ensure efficiencies and quality customer service. Customer Service Excellence: * Doing things right the first time * Making people feel welcome * Showing respect for each customer * Anticipating customer needs and concerns * Keeping customers informed * Helping and going the extra mile * Responding quickly * Protecting privacy and confidentiality * Demonstrating proper telephone etiquette * Taking responsibility for handling complaints * Being professional * Taking ownership of your attitude toward Service Excellence. Supervision: No direct supervision Physical Demands and Working Conditions: * Occasional day travel to satellite clinics required * May be expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, other vehicles, etc. Travel occurs in all weather conditions, including extreme heat and cold. * Work is mainly done on a computer, up to 8 hours a day. * Create and maintain a safe/secure working environment by adhering to safety, security, and health requirements. Integrates injury, illness, and loss prevention into job activities by attending any necessary training and implementing best practices. Freedom to Act & Decision Making: * Decisions directly affect the quality of services provided to the public. * Considerable leeway is granted for the exercise of independent judgment and initiative. Communications & Networking: * Presents to large and small groups regularly. * Frequent written and verbal communication with RiverStone staff for the purpose of training and information delivery * Works directly with leadership and department staff to develop quality training sessions * Interaction with professionals across the state for program credentialing and management. Budget & Resource Management: Oversight of project and/or associated grant budgets as applicable ($20k - $1million)

WHOOP is an advanced health and fitness wearable on a mission to unlock human performance and healthspan. We empower our members to improve their health and perform at a higher level through a deeper understanding of their bodies and daily lives. As the Director of Regulatory Affairs & Quality Assurance (RA/QA), you will lead the strategy, execution, and continuous evolution of WHOOP's regulatory and quality frameworks as we expand deeper into regulated digital health and medical-grade product capabilities. You will also play a critical role in strengthening WHOOP's design quality discipline, ensuring robust design controls, risk management, and design quality practices. You will shape the regulatory pathway for our next generation of health features, ensure compliance across global markets, and build systems that enable WHOOP to scale medical device development responsibly and efficiently. This role is ideal for a seasoned RA/QA leader who thrives in fast-paced, cross-functional environments and is motivated by the opportunity to help define the future of WHOOP as a health technology company. QUALIFICATIONS: * Lead regulatory strategy for WHOOP's health features and regulated products from development through approval and lifecycle management. * Oversee regulatory submissions including 510(k), De Novo, technical files, global registrations, providing strategic direction, final review, and cross-functional alignment. * Serve as WHOOP's primary liaison with regulatory agencies and notified bodies. * Interpret and communicate regulatory requirements to cross-functional teams, ensuring seamless integration throughout the development lifecycle. * Oversee WHOOP's Quality Management System (QMS) to ensure compliance with FDA, ISO 13485, MDR, and other global regulatory frameworks. * Provide leadership and oversight for Design Quality Engineers responsible for DHF maintenance, design reviews, risk management (ISO 14971), verification/validation strategy, and software change control processes. * Lead internal and external audit readiness, including FDA inspections and notified body audits. * Manage post-market surveillance and adverse event reporting. * Review marketing and promotional materials for regulated and general wellness features to ensure compliance. * Build, manage, and mentor a high-performing team. * Monitor regulatory changes, evolving standards, and industry trends, advising leadership on implications and opportunities. RESPONSIBILITIES: * Bachelor's degree in life sciences, engineering, regulatory affairs, or a related field; advanced degree preferred. * 8+ years of regulatory affairs experience in medical devices, digital health, wearables, or related fields. * Proven experience leading successful FDA submissions (510(k), De Novo) and managing global regulatory approvals. * Demonstrated success building or overseeing a Quality Management System, including experience with external audits. * Deep understanding of software as a medical device (SaMD), cybersecurity considerations, post-market requirements, and applicable standards. * Strong working knowledge of ISO 14971 risk management, including hazard analysis, FMEAs, risk/benefit justification, and integration of risk controls across hardware, firmware, and software. * Experience overseeing post-market quality activities, including complaints, MDR/Vigilance assessments, field actions, and design updates based on post-market signals. * Working knowledge of privacy and data regulations such as HIPAA and GDPR. * Exceptional communication, leadership, and stakeholder management skills. * Ability to thrive in a fast-paced, high-growth environment with evolving priorities. * Experience navigating the boundary between general wellness and SaMD, including evaluating feature intent, regulatory risk, and appropriate evidence pathways. It is strongly preferred that the candidate is able to work out of the WHOOP office located in Boston, MA. Interested in the role, but don't meet every qualification? We encourage you to still apply! At WHOOP, we believe there is much more to a candidate than what is written on paper, and we value character as much as experience. As we continue to build a diverse and inclusive environment, we encourage anyone who is interested in this role to apply. WHOOP is an Equal Opportunity Employer and participates in E-verify to determine employment eligibility. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. The WHOOP compensation philosophy is designed to attract, motivate, and retain exceptional talent by offering competitive base salaries, meaningful equity, and consistent pay practices that reflect our mission and core values. At WHOOP, we view total compensation as the combination of base salary, equity, and benefits, with equity serving as a key differentiator that aligns our employees with the long-term success of the company and allows every member of our corporate team to own part of WHOOP and share in the company's long-term growth and success. The U.S. base salary range for this full-time position is $220,000-$245,000. Salary ranges are determined by role, level, and location. Within each range, individual pay is based on factors such as job-related skills, experience, performance, and relevant education or training. In addition to the base salary, the successful candidate will also receive benefits and a generous equity package. These ranges may be modified in the future to reflect evolving market conditions and organizational needs. While most offers will typically fall toward the starting point of the range, total compensation will depend on the candidate's specific qualifications, expertise, and alignment with the role's requirements. Learn more about WHOOP.

WHOOP is an advanced health and fitness wearable on a mission to unlock human performance and healthspan. We empower our members to improve their health and perform at a higher level through a deeper understanding of their bodies and daily lives. As the Director of Regulatory Affairs & Quality Assurance (RA/QA), you will lead the strategy, execution, and continuous evolution of WHOOP's regulatory and quality frameworks as we expand deeper into regulated digital health and medical-grade product capabilities. You will also play a critical role in strengthening WHOOP's design quality discipline, ensuring robust design controls, risk management, and design quality practices. You will shape the regulatory pathway for our next generation of health features, ensure compliance across global markets, and build systems that enable WHOOP to scale medical device development responsibly and efficiently. This role is ideal for a seasoned RA/QA leader who thrives in fast-paced, cross-functional environments and is motivated by the opportunity to help define the future of WHOOP as a health technology company.QUALIFICATIONS: Lead regulatory strategy for WHOOP's health features and regulated products from development through approval and lifecycle management. Oversee regulatory submissions including 510(k), De Novo, technical files, global registrations, providing strategic direction, final review, and cross-functional alignment. Serve as WHOOP's primary liaison with regulatory agencies and notified bodies. Interpret and communicate regulatory requirements to cross-functional teams, ensuring seamless integration throughout the development lifecycle. Oversee WHOOP's Quality Management System (QMS) to ensure compliance with FDA, ISO 13485, MDR, and other global regulatory frameworks. Provide leadership and oversight for Design Quality Engineers responsible for DHF maintenance, design reviews, risk management (ISO 14971), verification/validation strategy, and software change control processes. Lead internal and external audit readiness, including FDA inspections and notified body audits. Manage post-market surveillance and adverse event reporting. Review marketing and promotional materials for regulated and general wellness features to ensure compliance. Build, manage, and mentor a high-performing team. Monitor regulatory changes, evolving standards, and industry trends, advising leadership on implications and opportunities. RESPONSIBILITIES: Bachelor's degree in life sciences, engineering, regulatory affairs, or a related field; advanced degree preferred. 8+ years of regulatory affairs experience in medical devices, digital health, wearables, or related fields. Proven experience leading successful FDA submissions (510(k), De Novo) and managing global regulatory approvals. Demonstrated success building or overseeing a Quality Management System, including experience with external audits. Deep understanding of software as a medical device (SaMD), cybersecurity considerations, post-market requirements, and applicable standards. Strong working knowledge of ISO 14971 risk management, including hazard analysis, FMEAs, risk/benefit justification, and integration of risk controls across hardware, firmware, and software. Experience overseeing post-market quality activities, including complaints, MDR/Vigilance assessments, field actions, and design updates based on post-market signals. Working knowledge of privacy and data regulations such as HIPAA and GDPR. Exceptional communication, leadership, and stakeholder management skills. Ability to thrive in a fast-paced, high-growth environment with evolving priorities. Experience navigating the boundary between general wellness and SaMD, including evaluating feature intent, regulatory risk, and appropriate evidence pathways. It is strongly preferred that the candidate is able to work out of the WHOOP office located in Boston, MA. Interested in the role, but don't meet every qualification? We encourage you to still apply! At WHOOP, we believe there is much more to a candidate than what is written on paper, and we value character as much as experience. As we continue to build a diverse and inclusive environment, we encourage anyone who is interested in this role to apply. WHOOP is an Equal Opportunity Employer and participates in E-verify to determine employment eligibility. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. The WHOOP compensation philosophy is designed to attract, motivate, and retain exceptional talent by offering competitive base salaries, meaningful equity, and consistent pay practices that reflect our mission and core values. At WHOOP, we view total compensation as the combination of base salary, equity, and benefits, with equity serving as a key differentiator that aligns our employees with the long-term success of the company and allows every member of our corporate team to own part of WHOOP and share in the company's long-term growth and success. The U.S. base salary range for this full-time position is $220,000-$245,000. Salary ranges are determined by role, level, and location. Within each range, individual pay is based on factors such as job-related skills, experience, performance, and relevant education or training. In addition to the base salary, the successful candidate will also receive benefits and a generous equity package. These ranges may be modified in the future to reflect evolving market conditions and organizational needs. While most offers will typically fall toward the starting point of the range, total compensation will depend on the candidate's specific qualifications, expertise, and alignment with the role's requirements. Learn more about WHOOP .

011230 CA-Provider Engagement & Performance The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider quality performance across CCA's contracted network, with a focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population health and network quality initiatives to achieve high performance on CCA's Population Health goals; including Medicare Star measures, Medicaid-Medicare Plan withhold measures, quality performance metrics incorporated into other CCA contracts, health equity, Culturally and Linguistically Appropriate Services, Consumer Assessment of Healthcare Providers and Systems (CAHPS), and social determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics that align contracting efforts for efficiency and effectives with alternative payment models. The Program This role serves as a critical bridge between Provider Engagement, Network Performance, Analytics, Clinical and Quality Teams to drive improvement in clinical outcomes, health equity, and member and provider experience. **Supervision Exercised** + No direct reports currently; however, one to three program consultants with future expansion. **Essential Duties & Responsibilities:** **Provider Quality Performance and Value-Based Care** + Lead implementation and monitoring of quality initiatives tied to value-based payment programs and contractual performance metrics. + Partner with Provider Engagement, Network, Clinical and Quality teams to evaluate provider performance, identify opportunities for improvement, and facilitate data-driven action plans. + Collaborate with Contracting, Quality Analytics, and Population Health to align provider quality measures with value-based contracts and incentive programs. + Translate quality performance data into actionable insights and communicate findings to provider partners to drive improvement. + Support the development and oversight of provider pay-for-performance programs, including metric tracking, financial reconciliation, and performance reporting. **Health Equity and CLAS Integration** + Partner with the Health Equity team to incorporate CLAS (Culturally and Linguistically Appropriate Services) standards into provider education and engagement activities. + Lead or support the development and dissemination of provider-facing resources that advance equitable care delivery. + Coordinate provider training and communication initiatives focused on social drivers of health, cultural competence, and equity-focused performance improvement. **CAHPS Strategy and Performance** + Oversee implementation of provider-focused initiatives that support CAHPS performance improvement. + Analyze CAHPS results to identify trends and collaborate with Provider Network, Clinical and Quality teams to address performance gaps. + Develop and disseminate provider education and best practices to improve member satisfaction with access, communication, and care coordination. + Track and report provider performance metrics related to CAHPS domains such as Getting Needed Care, Getting Care Quickly, Rating of Health Care, and Customer Service. + Collaborates with Communications to design provider materials and newsletters reinforcing CAHPS-related expectations and improvement goals. + Partners with network leadership to recognize high-performing providers and share improvement strategies. **Provider Education and Engagement** + Manage the design, scheduling, and delivery of provider quality education, including webinars, learning sessions, and quality performance updates in collaboration with Quality team. + Develop materials and presentations that clearly communicate quality goals, contractual expectations, and best practices to the provider network. + Serve as a trusted liaison to provider partners, responding to quality-related inquiries and facilitating collaborative discussions on improvement opportunities. **Performance Reporting & Data Management** + Partner with Quality Analytics and Business Intelligence to ensure timely, accurate, and meaningful quality performance reporting to internal teams and providers. + Monitor performance trends and support the creation of dashboards, summaries, and progress reports for internal and external audiences. + Maintain documentation, SOPs, and reporting schedules to support consistent quality operations. **Cross-Functional Collaboration & Strategic Support** + Collaborate closely with Provider Engagement, Contracting, Quality, and Clinical to ensure alignment on provider quality goals. + Participate in cross-functional workgroups focused on quality improvement, network performance, and member and provider experience. + Support strategic initiatives that promote continuous improvement and operational efficiency across the provider network. **Working Conditions** + Remote or hybrid working conditions. Position requires occasional travel in Massachusetts and the surrounding area. **Required Education** : + Bachelor's degree in healthcare administration, public health, business or health care related field **Desired Education:** + Master's degree + Certified Professional in Healthcare Quality (CPHQ) or equivalent certification **Required Experience:** + 5-7 years of experience in healthcare quality improvement, provider network performance and management, population health, or related area + Demonstrated experience interpreting and applying quality measures (HEDIS, CAHPS, HOS) and value-based contract performance metrics + Experience with Medicare Advantage, Medicaid; and dually eligible populations **Desired Experience** + Experience managing or supporting pay-for-performance or value-based care programs. + Experience leading provider education or training sessions. + Exposure to health equity initiatives and/or CLAS standards integration in provider settings. **Required Knowledge, Skills & Abilities:** + Strong understanding of provider quality performance frameworks and value-based care principles. + Working knowledge of claims data, quality measurement, and performance incentive methodologies. + Excellent verbal and written communication skills, including the ability to synthesize and present data effectively to providers and internal stakeholders. + Strong relationship management and interpersonal skills; ability to engage diverse provider partners diplomatically. + Proficiency with Microsoft Office Suite (Excel, PowerPoint, Word) and comfort working with dashboards and analytics tools. + Proven project management skills and ability to manage multiple priorities and deadlines. + Self-directed, detail-oriented, and able to work effectively in a fast-paced, matrixed environment. **Desired Knowledge, Skills & Abilities:** + Familiarity with quality analytics platforms, provider portals, or data visualization tools. + Working knowledge of health plan claims and payment policies, including provider reimbursement methodologies. + Experience applying CLAS standards or health equity frameworks within provider engagement or quality improvement initiatives. **Language(s)** + English **Compensation Range/Target: $99,600 - $149,400** Commonwealth Care Alliance takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.

011230 CA-Provider Engagement & Performance The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider quality performance across CCA's contracted network, with a focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population health and network quality initiatives to achieve high performance on CCA's Population Health goals; including Medicare Star measures, Medicaid-Medicare Plan withhold measures, quality performance metrics incorporated into other CCA contracts, health equity, Culturally and Linguistically Appropriate Services, Consumer Assessment of Healthcare Providers and Systems (CAHPS), and social determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality metrics that align contracting efforts for efficiency and effectives with alternative payment models. The Program This role serves as a critical bridge between Provider Engagement, Network Performance, Analytics, Clinical and Quality Teams to drive improvement in clinical outcomes, health equity, and member and provider experience. Supervision Exercised No direct reports currently; however, one to three program consultants with future expansion. Essential Duties & Responsibilities: Provider Quality Performance and Value-Based Care Lead implementation and monitoring of quality initiatives tied to value-based payment programs and contractual performance metrics. Partner with Provider Engagement, Network, Clinical and Quality teams to evaluate provider performance, identify opportunities for improvement, and facilitate data-driven action plans. Collaborate with Contracting, Quality Analytics, and Population Health to align provider quality measures with value-based contracts and incentive programs. Translate quality performance data into actionable insights and communicate findings to provider partners to drive improvement. Support the development and oversight of provider pay-for-performance programs, including metric tracking, financial reconciliation, and performance reporting. Health Equity and CLAS Integration Partner with the Health Equity team to incorporate CLAS (Culturally and Linguistically Appropriate Services) standards into provider education and engagement activities. Lead or support the development and dissemination of provider-facing resources that advance equitable care delivery. Coordinate provider training and communication initiatives focused on social drivers of health, cultural competence, and equity-focused performance improvement. CAHPS Strategy and Performance Oversee implementation of provider-focused initiatives that support CAHPS performance improvement. Analyze CAHPS results to identify trends and collaborate with Provider Network, Clinical and Quality teams to address performance gaps. Develop and disseminate provider education and best practices to improve member satisfaction with access, communication, and care coordination. Track and report provider performance metrics related to CAHPS domains such as Getting Needed Care, Getting Care Quickly, Rating of Health Care, and Customer Service. Collaborates with Communications to design provider materials and newsletters reinforcing CAHPS-related expectations and improvement goals. Partners with network leadership to recognize high-performing providers and share improvement strategies. Provider Education and Engagement Manage the design, scheduling, and delivery of provider quality education, including webinars, learning sessions, and quality performance updates in collaboration with Quality team. Develop materials and presentations that clearly communicate quality goals, contractual expectations, and best practices to the provider network. Serve as a trusted liaison to provider partners, responding to quality-related inquiries and facilitating collaborative discussions on improvement opportunities. Performance Reporting & Data Management Partner with Quality Analytics and Business Intelligence to ensure timely, accurate, and meaningful quality performance reporting to internal teams and providers. Monitor performance trends and support the creation of dashboards, summaries, and progress reports for internal and external audiences. Maintain documentation, SOPs, and reporting schedules to support consistent quality operations. Cross-Functional Collaboration & Strategic Support Collaborate closely with Provider Engagement, Contracting, Quality, and Clinical to ensure alignment on provider quality goals. Participate in cross-functional workgroups focused on quality improvement, network performance, and member and provider experience. Support strategic initiatives that promote continuous improvement and operational efficiency across the provider network. Working Conditions Remote or hybrid working conditions. Position requires occasional travel in Massachusetts and the surrounding area. Required Education: Bachelor's degree in healthcare administration, public health, business or health care related field Desired Education: Master's degree Certified Professional in Healthcare Quality (CPHQ) or equivalent certification Required Experience: 5-7 years of experience in healthcare quality improvement, provider network performance and management, population health, or related area Demonstrated experience interpreting and applying quality measures (HEDIS, CAHPS, HOS) and value-based contract performance metrics Experience with Medicare Advantage, Medicaid; and dually eligible populations Desired Experience Experience managing or supporting pay-for-performance or value-based care programs. Experience leading provider education or training sessions. Exposure to health equity initiatives and/or CLAS standards integration in provider settings. Required Knowledge, Skills & Abilities: Strong understanding of provider quality performance frameworks and value-based care principles. Working knowledge of claims data, quality measurement, and performance incentive methodologies. Excellent verbal and written communication skills, including the ability to synthesize and present data effectively to providers and internal stakeholders. Strong relationship management and interpersonal skills; ability to engage diverse provider partners diplomatically. Proficiency with Microsoft Office Suite (Excel, PowerPoint, Word) and comfort working with dashboards and analytics tools. Proven project management skills and ability to manage multiple priorities and deadlines. Self-directed, detail-oriented, and able to work effectively in a fast-paced, matrixed environment. Desired Knowledge, Skills & Abilities: Familiarity with quality analytics platforms, provider portals, or data visualization tools. Working knowledge of health plan claims and payment policies, including provider reimbursement methodologies. Experience applying CLAS standards or health equity frameworks within provider engagement or quality improvement initiatives. Language(s) English Compensation Range/Target: $99,600 - $149,400 Commonwealth Care Alliance takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

is $55.66 - $72.36 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description The Program Manager, Quality reflects the mission, vision, and values of Northwestern Medicine, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Program Manager, Quality is responsible for planning and coordinating all or a portion of the Quality program for Northwestern Memorial Hospital the direction of the Director of Quality. This role coordinates and leads the quality endeavor, coordinates with peers, and is responsible for implementation and follow up as outlined in the annual quality plan, ongoing priorities of leadership and quality committees, and compliance with relevant standards monitored by The Joint Commission (TJC) and other agencies. This position will advance the use of quality evaluation and improvement strategies to achieve key organizational goals in quality and patient safety. The Program Manager partners with administrative, physician, nursing, ancillary leadership and other system function teams to advance the quality agenda through the development and implementation of plans and strategies that facilitate the achievement of strategic organizational goals. Responsibilities: * Provide leadership and operational implementation of assigned Clinical Quality activities * Conduct detailed, sophisticated, accurate and creative analyses of data at NMHC and outside NMHC (e.g. benchmarks, comparative data) to identify quality opportunities. * Advance performance compared to appropriate external benchmarks and optimize process and outcome metrics. * Develop, conduct, implement and improve process improvement activities to improve high quality & high-reliability healthcare. * Identify and utilize appropriate quality metrics to evaluate project or performance success based on stated purpose and needed outcomes. * Implement effective quality planning * Design quality plans, programs and policies, peer review, and best practices in partnership with senior medical and operational leaders. * Lead the department to identify quality opportunities and concerns, in collaboration with the Director of Quality. * Facilitate the implementation of systems and processes that promote a fair and just culture, and improve patient care. * Support effective department operations and growth, and personal development * Support, coach, teach, mentor, monitor and evaluate the work of others conducting quality work (as directed) and personally conduct, coordinate, facilitate, and participate in quality assessments, improvement efforts, committees, etc. * Oversee effective use of budget and other resources as delegated. Will supervise projects with organizational impact, and intermittent staff assignments. * Responsible for self-development and professional engagement, including knowledge of the literature and attendance at professional meetings, preparation of manuscripts, posters and presentations, involvement of with local and national task forces as relevant. Additional/Clarified Essential Functions: Under the leadership of the Quality Director: * SME on external rankings methodology and overall impact to hospital ranking, specialties, and procedures and conditions. * External Methodology Vizient expert including changes in annual release and advocate for changes when possible * Analyze and interpret data, develop reports and dashboards, identify performance challenges and opportunities to improve care; monitor progress * Create and lead action plans of multiple workstreams to improve patient outcomes and lead improvement projects in targeted areas. * Advocate and collaborate with Vizient for improved and transparent methods. * Identify emerging needs for NM strategic priorities, monitoring external measurement and performance and emerging literature. * Exhibits confidence, credibility, and professionalism to influence decision-making for NMHC senior leadership * Delivers clear, concise, and persuasive messages tailored to executive audiences, ensuring alignment and engagement across teams. Qualifications Required: * Bachelor's degree in Nursing or Allied Health Profession or a Master's degree in a healthcare related field * 5+ years of work experience, with 4+ years in a healthcare setting, and 3+ years of quality, patient safety, or relevant experience * Highly effective and experienced at facilitation of teams including complex multi-disciplinary projects * Expert knowledge of quality measures and measurement, mastery of performance improvement methodologies (i.e. DMAIC), analytic tools and methods, including implementation with measurable results * Advanced competence with Excel and data analysis * Excellent writing and presentation skill Preferred: * Master's degree * Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) or other evidence of advanced commitment to profession. * Familiarity with major sources of measures, literature, and quality- and patient-safety-related federal and state policy. * Experience with clinical outcomes, safety, and patient satisfaction data Equal Opportunity Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description The Program Manager, Quality reflects the mission, vision, and values of Northwestern Medicine, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Program Manager, Quality is responsible for planning and coordinating all or a portion of the Quality program for Northwestern Memorial Hospital the direction of the Director of Quality. This role coordinates and leads the quality endeavor, coordinates with peers, and is responsible for implementation and follow up as outlined in the annual quality plan, ongoing priorities of leadership and quality committees, and compliance with relevant standards monitored by The Joint Commission (TJC) and other agencies. This position will advance the use of quality evaluation and improvement strategies to achieve key organizational goals in quality and patient safety. The Program Manager partners with administrative, physician, nursing, ancillary leadership and other system function teams to advance the quality agenda through the development and implementation of plans and strategies that facilitate the achievement of strategic organizational goals. Responsibilities: Provide leadership and operational implementation of assigned Clinical Quality activities Conduct detailed, sophisticated, accurate and creative analyses of data at NMHC and outside NMHC (e.g. benchmarks, comparative data) to identify quality opportunities. Advance performance compared to appropriate external benchmarks and optimize process and outcome metrics. Develop, conduct, implement and improve process improvement activities to improve high quality & high-reliability healthcare. Identify and utilize appropriate quality metrics to evaluate project or performance success based on stated purpose and needed outcomes. Implement effective quality planning Design quality plans, programs and policies, peer review, and best practices in partnership with senior medical and operational leaders. Lead the department to identify quality opportunities and concerns, in collaboration with the Director of Quality. Facilitate the implementation of systems and processes that promote a fair and just culture, and improve patient care. Support effective department operations and growth, and personal development Support, coach, teach, mentor, monitor and evaluate the work of others conducting quality work (as directed) and personally conduct, coordinate, facilitate, and participate in quality assessments, improvement efforts, committees, etc. Oversee effective use of budget and other resources as delegated. Will supervise projects with organizational impact, and intermittent staff assignments. Responsible for self-development and professional engagement, including knowledge of the literature and attendance at professional meetings, preparation of manuscripts, posters and presentations, involvement of with local and national task forces as relevant. Additional/Clarified Essential Functions: Under the leadership of the Quality Director: SME on external rankings methodology and overall impact to hospital ranking, specialties, and procedures and conditions. External Methodology Vizient expert including changes in annual release and advocate for changes when possible Analyze and interpret data, develop reports and dashboards, identify performance challenges and opportunities to improve care; monitor progress Create and lead action plans of multiple workstreams to improve patient outcomes and lead improvement projects in targeted areas. Advocate and collaborate with Vizient for improved and transparent methods. Identify emerging needs for NM strategic priorities, monitoring external measurement and performance and emerging literature. Exhibits confidence, credibility, and professionalism to influence decision-making for NMHC senior leadership Delivers clear, concise, and persuasive messages tailored to executive audiences, ensuring alignment and engagement across teams. Qualifications Required: Bachelor's degree in Nursing or Allied Health Profession or a Master's degree in a healthcare related field 5+ years of work experience, with 4+ years in a healthcare setting, and 3+ years of quality, patient safety, or relevant experience Highly effective and experienced at facilitation of teams including complex multi-disciplinary projects Expert knowledge of quality measures and measurement, mastery of performance improvement methodologies (i.e. DMAIC), analytic tools and methods, including implementation with measurable results Advanced competence with Excel and data analysis Excellent writing and presentation skill Preferred: Master's degree Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) or other evidence of advanced commitment to profession. Familiarity with major sources of measures, literature, and quality- and patient-safety-related federal and state policy. Experience with clinical outcomes, safety, and patient satisfaction data Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.

* Lead and assist in the development of direct reports to achieve desired results. * Communicate department goals and objectives, ensuring resources are distributed appropriately. * Maintain regular two way dialogue with direct reports on work and results. * Collaboratively create development plans and coach individuals in achieving them. * Ensure Quality department's participation in the Growtth (Lean) program. * Ensure systems and specific product procedures are in place to release product meeting defined requirements. * Responsible for leading the development and management of an effective and compliant quality system by working closely with various cross-functional members. * Ensure quality performance metrics are implemented, monitored and addressed. * Report to management on the performance of the Quality Management System. * Act as the primary contact for customers regarding quality related issues / activities. * Lead / oversee customer / external audit(s). * Address customer concerns to support strategic approach to the regulations. * Serve as site Management Representative. * Coordinate and conduct management review meetings and ensure closures of management review items. * Ensure continuing suitability, adequacy, and effectiveness of Freudenberg Medical Quality Management System. * Oversee CAPA Review Board (CRB) and ensure appropriate actions are taken to resolve QNs in a timely manner. * Responsible for implementing new or revised global quality systems requirements. * Report and resolve customer recalls and field complaints. * Participate in strategic planning activities to ensure that quality related requirements are included in strategic goals and objectives. * Provide quality solutions to support business activities and other assigned task to support the business. * Promote the awareness of quality throughout the business. Qualificationsarrow_right * Bachelor's degree in Science, Engineering, Manufacturing or related field (Master's degree preferred). * Thorough knowledge of medical devices quality systems (ISO13485/FDA). * Knowledge of LEAN and Six Sigma methodologies is desirable. * A minimum of ten (10) years of relevant progressive experience within a similar environment, with five or more successful years in a leadership position. * Thorough knowledge of quality management systems and associated regulatory requirements (ISO 13485, FDA etc.). * Experience using SAP ERP software and Proficient in Microsoft Office Suite. * Demonstrable ability to achieve goals through collaborating, influencing and interaction at all levels across the business/function. The Freudenberg Group is an equal opportunity employer that is committed to diversity and inclusion. Employment opportunities are available to all applicants and associates without regard to race, color, religion, creed, gender (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity or expression, national origin, ancestry, age, mental or physical disability, genetic information, marital status, familial status, sexual orientation, protected military or veteran status, or any other characteristic protected by applicable law.

Working at Freudenberg: We will wow your world! Responsibilities: Lead and assist in the development of direct reports to achieve desired results. Communicate department goals and objectives, ensuring resources are distributed appropriately. Maintain regular two way dialogue with direct reports on work and results. Collaboratively create development plans and coach individuals in achieving them. Ensure Quality department's participation in the Growtth (Lean) program. Ensure systems and specific product procedures are in place to release product meeting defined requirements. Responsible for leading the development and management of an effective and compliant quality system by working closely with various cross-functional members. Ensure quality performance metrics are implemented, monitored and addressed. Report to management on the performance of the Quality Management System. Act as the primary contact for customers regarding quality related issues / activities. Lead / oversee customer / external audit(s). Address customer concerns to support strategic approach to the regulations. Serve as site Management Representative. Coordinate and conduct management review meetings and ensure closures of management review items. Ensure continuing suitability, adequacy, and effectiveness of Freudenberg Medical Quality Management System. Oversee CAPA Review Board (CRB) and ensure appropriate actions are taken to resolve QNs in a timely manner. Responsible for implementing new or revised global quality systems requirements. Report and resolve customer recalls and field complaints. Participate in strategic planning activities to ensure that quality related requirements are included in strategic goals and objectives. Provide quality solutions to support business activities and other assigned task to support the business. Promote the awareness of quality throughout the business. Qualifications: Bachelor's degree in Science, Engineering, Manufacturing or related field (Master's degree preferred). Thorough knowledge of medical devices quality systems (ISO13485/FDA). Knowledge of LEAN and Six Sigma methodologies is desirable. A minimum of ten (10) years of relevant progressive experience within a similar environment, with five or more successful years in a leadership position. Thorough knowledge of quality management systems and associated regulatory requirements (ISO 13485, FDA etc.). Experience using SAP ERP software and Proficient in Microsoft Office Suite. Demonstrable ability to achieve goals through collaborating, influencing and interaction at all levels across the business/function. The Freudenberg Group is an equal opportunity employer that is committed to diversity and inclusion. Employment opportunities are available to all applicants and associates without regard to race, color, religion, creed, gender (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity or expression, national origin, ancestry, age, mental or physical disability, genetic information, marital status, familial status, sexual orientation, protected military or veteran status, or any other characteristic protected by applicable law. Freudenberg Medical LLC

Beam is preparing to open a state-of-the-art Manufacturing facility located on Davis Drive in RTP, NC and will be looking for Manufacturing and Quality professionals to join our team! Please submit your resume here to be considered for positions that we will be opening in Q4 2022 and throughout 2023. We are looking for fearless innovators who are passionate about helping patients and looking to join a collaborative environment where you will be able to have a direct impact on getting our facility up and running.

Tennessee Oncology, one of the nation's largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology's mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home. Our growing network of physicians and locations is based on this mission. Tennessee Oncology is committed to advancing both the science of detection and targeted treatments, and to making these advances available to every patient. We believe caring for cancer patients is a privilege. Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve. Job Description: The Manager, Quality and Value-Based Programs leads cross-functional efforts to drive innovative, efficient, and patient-centered care delivery through the integration of quality improvement, regulatory compliance, and value-based care initiatives. This role collaborates across departments and with executive leadership to develop, implement, and optimize best-practice models that support care transformation, regulatory reporting, and strategic program outcomes. ESSENTIAL FUNCTIONS: * Works in a collaborative, cross-departmental fashion to facilitate patient-centric care that is innovative, efficient, scalable, patient-safety focused and of high quality. * Works as part of a cross-functional team to establish methods for design, development, and implementation of care transformation activities, care management applications/systems, and regulatory/outcomes reporting. * Builds and leads effective strategies to support the effective delivery and management of key projects. * Responsible for integration and implementation of best practice models that support VBC, Quality, and Regulatory programs. * Collaborates with leaders within the organization to develop strategic plans/approaches for achieving specific program goals. * Develops, implements, and maintains tracking methods to monitor progress related to identified key outcomes continually. * Proactively provides strategic consultation and coordination for the prioritization of major areas of opportunity, incorporating both internal best practices as well as external developments. * Evaluates VBC and Regulatory program changes and impact on program service delivery or model design suggesting modifications as needed to ensure successful patient outcomes as well as meet organizational financial goals/targets. * Works closely with executives and directors to develop and implement standard processes and procedures that assure readiness and achieve initiative(s) success. * Leads the identification and oversight of standard data collection, analysis, reporting and monitoring of essential operational and clinical areas of focus related regulatory issues and recommends methods for process improvement based on performance results. Creates a durable infrastructure model and tools for continuous improvement. * Serves as the organizational expert for regulations, rules, and best practices regarding regulatory requirements. * Works in collaboration with CAO, CMO, Executive/Director Leadership, Compliance Office and Physician Leadership teams to develop specific program goals and infrastructure to align with organizational goals. * Manages programs through creating project plans, management tools, and reporting capabilities. * Develops and initiates a plan to educate departments on relevant regulatory program requirements. * Creates and evaluates policies and procedures as they relate to federal, state, and local regulations as well as regulations regarding organization accreditations. * Assists in organization-wide accreditation application and renewal processes. * Identifies potential regulatory adherence risks and develop strategies to mitigate them. * QPP portal management and annual MIPS reporting. EDUCATION & EXPERIENCE: * Bachelor's degree required. * Master's degree in relevant field preferred. * Registered Nurse with Oncology experience preferred. * QPP/MIPS reporting experience required. * Certification in Oncology Nursing or Quality Management preferred if Registered nurse or obtain within one year of hire date. * If Non-RN, Quality Management certification preferred, or obtain within one year of hire date. * Minimum of 3 years management experience in healthcare setting or 3 years Quality Management experience with Quality Management Certification. * Strong organizational and communication skills are essential.