Clinical Quality Improvement Lead

Altais; San Francisco (CA); On-site; USD 107,000 - 129,000; Full time

Benefits offered by this job

Excellent medical, vision, and dental

401k matching program

Paid time off plus holidays

Job summary

Altais is seeking a Clinical Quality Advisor to lead multi-departmental quality initiatives, analyze performance data, and drive improvements across departments. You will implement rapid-cycle methods and collaborate with internal teams to enhance CMS Star Ratings and other performance measures.

The role emphasizes governance, milestone tracking, training, and program maintenance, with a focus on continuous improvement and stakeholder engagement across the organization.

Qualifications

• Minimum 8 years of prior relevant experience in managed care quality improvement, care management or clinical program management in a clinical/healthcare environment
• Working knowledge of HEDIS, CAHPS, HOS, CMS Medicare Star Ratings, P4P programs, MCAS and NCQA Quality Improvement standards
• Specific licensing requirements may apply (e.g., LVN, RN, NP, PA, MSW, CPhT)

Responsibilities

• Targeted Improvement Activities: collaborate to develop improvement activities based on performance data and best practices to enhance CMS Star Ratings, HEDIS, CAHPS, HOS, P4P and other measures
• Research and Integration: review evidence-based practices and benchmarks and apply findings to quality improvement initiatives
• Continuous Monitoring and Feedback: monitor improvement activities and provide actionable feedback to management
• Performance Improvement Methodologies: apply rapid-cycle methods to support internal quality initiatives
• Quality Improvement Program Maintenance: contribute to annual program documents and evaluations
• Training and Development: support development and delivery of quality improvement training programs
• Support Intradepartmental Teams: assist teams to align with organizational goals
• Technological Advancement: seek opportunities to improve delivery and efficiency via tech
• Data Translation and Recommendations: translate data into insights and advise stakeholders
• Report Preparation and Data Analysis: prepare reports and analytics for committees and management
• Program and Process Improvements: contribute to ongoing program enhancements and process optimization
• Program Monitoring and Continuous Improvement: track programs from initiation to delivery
• Governance and Milestone Tracking: define milestones and deliver integrated delivery plans
• Operational Targets and Problem Solving: achieve targets and improve processes with limited supervision
• Complex Problem Solving: develop new approaches to multifaceted problems
• Communication and Influence: inform and guide internal/external parties and coach others
• Committee Participation and Leadership: lead cross-functional committees and stakeholder workgroups
• Audit Participation and Process Improvement: participate in audits and drive corrective actions

Skills

Quality improvement

Project management

Data analysis

Cross-functional collaboration

Stakeholder communication

Education

Bachelor’s degree or equivalent experience

Licensure (LVN, RN, NP, PA, MSW, CPhT) may apply

Job description

Altais is seeking a Clinical Quality Advisor to lead multi-departmental quality initiatives, analyze performance data, and drive improvements across departments. You will implement rapid-cycle methods and collaborate with internal teams to enhance CMS Star Ratings and other performance measures.

The role emphasizes governance, milestone tracking, training, and program maintenance, with a focus on continuous improvement and stakeholder engagement across the organization.