Clinical Performance Manager

Davita Inc.; Somerville (MA); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare company seeks a Clinical Performance Manager to oversee metrics, compliance, and improvement initiatives. The role involves collaboration with clinical teams to enhance patient care and requires a Bachelor's degree along with significant management experience. This is a remote opportunity, requiring occasional meetings in Somerville, MA, appealing to candidates with a strong background in healthcare regulations and performance metrics.

Qualifications

• 3-5 years in clinical performance management or quality improvement required.
• Knowledge of healthcare regulations and accreditation standards preferred.
• Ability to lead improvement projects and implement best practices.

Responsibilities

• Monitor clinical performance metrics and implement improvement initiatives.
• Ensure compliance with healthcare regulations and accreditation standards.
• Provide training on performance improvement and conduct audits.

Skills

Analytical Skills

Communication

Collaboration

Detail-oriented

Leadership

Education

Bachelor's Degree in Nursing, Healthcare Administration, or Related Field

Tools

Performance Management Software

Job description

Responsible for overseeing and improving clinical performance metrics and ensuring compliance with healthcare regulations and accreditation standards. Collaborates with clinical teams to develop strategies for improving patient care outcomes and ensures that clinical operations align with regulatory and quality requirements.
Essential Functions
-Monitor and analyze clinical performance data to identify areas for improvement in patient care and outcomes.
-Ensure compliance with all regulatory, accreditation, and quality standards across clinical operations.
-Collaborate with clinical staff to implement performance improvement initiatives and ensure best practices in patient care.
-Develop and maintain clinical performance dashboards and reports to track key metrics.
-Coordinate with quality, compliance, and risk management teams to ensure alignment with organizational goals.
-Provide training and education to clinical teams on performance improvement, regulatory compliance, and accreditation standards.
-Conduct audits and assessments of clinical processes to ensure continuous quality improvement.
-Work with leadership to set performance goals and develop action plans to achieve them.

Education

• Bachelor's Degree (Nursing, Healthcare Administration, or Related Field of Study) required

Experience

• At least 3-5 years of experience in clinical performance management, compliance, or quality improvement required
• Health plan quality measure knowledge (e.g. HEDIS, STARS, etc) is highly preferred

Knowledge, Skills, and Abilities

• Knowledge of healthcare regulations, accreditation standards (e.g., HEDIS, STARS, NCQA, etc.), and clinical performance metrics.
• Strong analytical skills with the ability to interpret clinical data and identify improvement opportunities.
• Excellent communication and collaboration skills to work effectively with clinical teams and leadership.
• Detail-oriented with a strong understanding of healthcare regulations and accreditation standards.
• Proficiency in performance management software and tools for tracking clinical outcomes.
• Ability to lead performance improvement projects and implement evidence-based practices.

Working Conditions

• This is a remote role and can be done from most US states. It will require occasional time at the office (roughly 1x/quarter) for team meetings in Somerville, MA

Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.