Manager-Quality Improvement (Full-time Remote, North Carolina Based)

Alliance; Charlotte (NC); Ibrido; USD 79.000 - 101.000; Tempo pieno

Vantaggi offerti da questo lavoro

Flexible work arrangements (remote/hyr

Descrizione del lavoro

Alliance Health in North Carolina is seeking a Manager of Quality Improvement for a full‑time remote role based NC. You will lead the QI program, align initiatives with regulatory and accreditation standards, and translate priorities into measurable improvements in member outcomes, service quality, and health equity.

This role collaborates across Medical Management, Analytics, Compliance, and Operations; manages PIPs, dashboards, and reporting.

Competenze

• Bachelor's degree in healthcare administration or related field.
• Five (5) years in healthcare quality improvement, analytics, population health, or performance improvement.
• Two (2) years of leadership experience and health plan quality experience.

Mansioni

• Lead Quality Improvement program aligning with regulatory and accreditation standards.
• Oversee Performance Improvement Projects (PIPs) and quality analytics.
• Develop dashboards, reporting, and regulatory submissions.
• Collaborate with Medical Management, Analytics, Compliance, and Operations.
• Promote health equity and assess disparities to improve outcomes.

Conoscenze

Quality improvement

Healthcare analytics

Regulatory compliance

PIPs

Data interpretation

Leadership

Formazione

Bachelor's degree in healthcare administration

Master's degree (MPH/MHA/MBA)

CPHQ / Lean Six Sigma Black Belt

Strumenti

MS Excel

Microsoft Teams

PowerPoint / Word

Descrizione del lavoro

If you are a job seeker with a disability and require a reasonable accommodation to apply for one of our jobs, you will find the contact information to request the appropriate accommodation by visiting the following our Accessibility Accomodation for Applicants page.

Manager-Quality Improvement (Full-time Remote, North Carolina Based)

• Posted on October 7, 2026

Locations

Showing 1 location

Home Office
Morrisville, NC 27560, USA

• Remote
• Quality Management
• Full-Time
• Requisition #: MANAG003577

Description

The Manager of Quality Improvement provides leadership and operational management of Alliance Health’s Quality Improvement (QI) Program, ensuring alignment with organizational goals, regulatory requirements, and accreditation standards. This position is responsible for translating organizational, regulatory, contractual, and quality priorities into structured improvement initiatives that produce measurable improvements in member outcomes, service quality, organizational performance and health equity.

The manager leads the development of quality improvement initiatives through the application of recognized quality improvement methodologies, data driven approaches, and performance improvement frameworks to drive measurable improvements in quality, access, member experience, and health outcomes. The Manager oversees Performance Improvement Projects (PIPs), quality analytics, data validation, performance measurement, reporting, and regulatory submissions, while ensuring compliance with federal and state Medicaid managed care requirements, accreditation standards, and contractual obligations.

This position is full-time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office (Morrisville, NC) may be required.

Responsibilities & Duties

Quality Improvement

• The role serves as a leader in quality improvement, healthcare analytics, regulatory compliance, performance management, utilizing data-driven insights to identify opportunities, monitor outcomes, and support organizational decision-making
• Execute, deliver, and lead quality strategy, annual work plans, quality committees, governance activities, continuous quality improvement culture, and enterprise quality initiatives
• Oversee development, review, implementation, evaluation, and reporting of PIPs, corrective action plans, quality initiatives, state reports, and regulatory deliverables
• Evaluate intervention effectiveness and sustainability
• Analyze quality, utilization, access, operational, and member experience measures. Calculate absolute and relative change, benchmark comparisons, trend analyses, and identify meaningful performance variation
• Advanced knowledge of Medicaid managed care quality programs, State deliverables, PIPs, QAPI, HEDIS, quality improvement analytics and statistical interpretation methodologies including absolute and relative change calculations, PDSA, Root Cause Analysis, PDSA, Driver Diagrams, process mapping, SMART AIM development etc.
• Incorporate assessment and evaluation of disparities, access barriers, social drivers of health, equity opportunities, and support the development of targeted interventions to improve outcomes
• Stakeholder consultation and collaboration, change management concepts.
• Collaborate with Medical Management, Care Management, Provider Network, Population Health, Analytics, Compliance, Operations, and Executive Leadership to advance quality initiatives across the organization
• Maintain compliance, confidentiality, ethical standards, professional credibility, and current knowledge of healthcare quality trends

Performance Measurement and Data Analysis

• Partner with Clinical Quality Analytics, HEDIS Performance Team, Population Health, Information Technology, and other teams to identify and monitor meaningful quality indicators
• Interpret performance trends and translate data into actionable improvement strategies. Identify signals of improvement, remaining gaps, unintended consequences, sustainability risks, and next best tests of change
• Validate that improvement measures appropriately assess whether interventions are producing intended outcomes
• Responsible for the development of reports, dashboards, and executive presentations to support Quality Improvement initiatives with internal and external stakeholders, including the NC DHHS
• Present complex performance information in a clear, actionable format for operational and executive audiences
• Work with Human Resources to attract, maintain, and retain a highly qualified and well-trained workforce
• Directly supervise staff, conduct evaluations, provide coaching, manage productivity, support hiring, onboarding, retention, and workforce development
• Actively establish and promote a positive, diverse, and inclusive working environment that builds trust
• Ensure all staff are treated with respect and dignity
• Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members
• Work to resolve conflicts and disputes, ensuring that all participants are given a voice
• Support a learning environment and culture of quality to advance team skills and professional development
• Cultivate and encourage efforts to expand cross-team collaboration and partnership
• Build relationships and identify gaps with partnerships across the organization and with external/community stakeholders to support program operations

Manager Operational Functions

• Manage and ensure compliance with organizational policies and labor law requirements for timesheets, time off utilization, and overtime utilization
• Monitor team member productivity, progress towards goals, and measure against KPIs
• Collaborate with supervisor, and HR as needed, regarding formal coaching notes, written warnings, and performance improvement plans
• Direct coaching through 1:1 check-ins with assigned staff
• Facilitate at least monthly team meetings to review operations updates and expectations
• Ensure that the team has the needed tools and resources to achieve outreach goals and ensure compliance with regulatory and accreditation requirements, with recommendations and advocacy for the appropriate resources
• Accountable to ensure organized workflows that contribute to staff understanding of their roles and responsibilities

Professional Integrity

• Foster a collaborative, inclusive, and positive work environment
• Maintain composure and efficiency in high-pressure situations, ensuring all tasks are completed within established timelines
• Handle sensitive situations with tact and professionalism, fostering positive relationships both internally and externally
• Adhere and monitor staff compliance with all Alliance Organizational Policies and Procedures
• Conduct self for alignment with system strategy, vision, mission, and values and ensure support of department specific goals and objectives
• Maintains knowledge of current trends, evidence-based practices in the field

Education & Experience

Required :

Bachelor's degree in healthcare administration, Public Health, Nursing, Health Informatics, Business Administration or related healthcare field and five (5) years of healthcare quality improvement, analytics, population health, or performance improvement experience including two (2) years of leadership experience and health plan quality experience.

Preferred :

Master's degree (MPH, MHA, MBA, Nursing, Epidemiology, Biostatistics, Informatics, Population Health) and five (5) years of healthcare quality improvement, managed care, analytics, population health, or performance improvement experience and three (3) years of leadership experience and health plan quality experience.

Certified Professional in Healthcare Quality (CPHQ), Lean Six Sigma Black Belt (LSSBB) preferred.

Knowledge, Skills, & Abilities

• Computer proficiency in Microsoft Excel, Teams, Word and Outlook.
• Ability to utilize computer equipment and web-based software to conduct work.
• Ability to interact with various office staff as needed to support necessary workflows.
• Ability to communicate effectively to individuals and groups through spoken, written and electronic media.
• Ability to attend to detail, effectively prioritize and execute tasks in a timely manner.
• Ability to work independently without a high degree of supervision.
• Knowledge of Medicaid Managed Care Organizations
• Knowledge of NCQA, HEDIS, DHHS, and Value-Based Care
• Knowledge of physical and behavioral health, SDOH, Access, and other influences of health

Salary Range

$79,425 -$101,267/Annually

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity

An excellent fringe benefit package accompanies the salary, which includes:

• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility

Credentials

Education

Required

Bachelors or better in Healthcare Administration.

Preferred

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.