Hybrid Quality Improvement Leader for Health Programs

Telligen; West Des Moines (IA); Hybrid; USD 90,000 - 150,000; Full time

Job summary

Telligen is seeking a Manager of Quality Improvement to oversee operational management, account management, and business development for select contracts. The role includes ensuring compliance with delivery requirements, supervising staff, and guiding quality improvement initiatives in health management services.

The position is hybrid with onsite days in West Des Moines, IA. You will lead cross-functional teams, monitor metrics, and drive continuous improvement while developing key client

Qualifications

• Four-year nursing degree and Iowa RN licensure.
• 5 years of experience in medical coding and utilization management (claims, billing, prior authorization, appeals).
• 3–5 years of project and staff leadership in fast-paced environments.
• Experience with URAC and NCQA health plan accreditation for utilization management.
• Knowledge of budgeting and financial principles; building stakeholder relationships.

Responsibilities

• Oversee day-to-day operations of multiple health management contracts/programs.
• Lead strategic plan development, execution, and evaluation to meet deliverables and metrics.
• Coordinate analyses and action plans when deliverables are at risk.
• Provide technical guidance and training to staff; drive process improvement.
• Support sales, business development and proposal activities as a subject matter expert.
• Monitor budgets and financial performance for assigned contracts.
• Coach and develop team members to achieve objectives.

Skills

Leadership Principles

Strategic planning

Coaching and training

Stakeholder relationships

Process improvement

Education

Nursing degree (RN)

Tools

URAC

NCQA

Job description

Telligen is seeking a Manager of Quality Improvement to oversee operational management, account management, and business development for select contracts. The role includes ensuring compliance with delivery requirements, supervising staff, and guiding quality improvement initiatives in health management services.

The position is hybrid with onsite days in West Des Moines, IA. You will lead cross-functional teams, monitor metrics, and drive continuous improvement while developing key client