National Quality Operations Manager — Healthcare Performance

HarmonyCares; United States; Vor Ort; USD 84.000 - 120.000; Vollzeit

Benefits dieser Stelle

Health + dental + vision

401K with match

Tuition reimbursement

PTO & holidays

Training & orientation

Zusammenfassung

HarmonyCares is seeking a Quality Operations Manager to lead nationwide quality operations for MA Stars, MSSP MIPS APP, and ACO REACH. You will standardize playbooks, educate care teams, and operationalize measure updates to close gaps at scale.

Responsibilities include centralized EMR chart abstraction, driving continuous process improvements, and supporting audit readiness while coordinating with Senior Population Health Managers and field teams across states.

Qualifikationen

• Bachelor’s degree or equivalent in quality, population health, healthcare operations, or related field.
• 4+ years of experience in MA Stars quality operations and measure execution.
• Stays current on Stars, MSSP MIPS APP, and ACO Reach quality program updates and translates changes into playbooks, education, and operational guidance.
• Strong working knowledge of denominator logic, closure mechanics, acceptable evidence standards, and common failure modes.
• Demonstrated proficiency performing medical record review and chart abstraction to identify qualifying evidence and support quality gap closure.

Aufgaben

• Maintain national quality playbooks and a shared knowledge base and keep guidance current with annual measure and specification updates and field feedback
• Drive continuous process improvement by analyzing recurring closure misses and field questions, then implementing workflow changes, job aids, and targeted education to improve closure rates and reduce rework
• Deliver provider / care team education, including new provider onboarding and ongoing continuing education, with practical “how to close” training and examples of acceptable evidence
• Align stakeholders without formal authority and drive adoption of standard work across regions
• Execute centralized EMR chart abstraction to identify qualifying evidence and document a traceable evidence trail to support closure of contracted quality gaps
• Manage the Tier 2 escalation queue for complex denominator and closure documentation issues
• Provide consistent guidance and closed-loop resolution back to Sr. Population Health Managers
• Support audit readiness by reinforcing documentation and evidence traceability standards, completing readiness checks and spot audits, and coordinating auditor-facing requests

Kenntnisse

Quality operations

Population health

Stakeholder alignment

Education delivery

Excel

PowerPoint

Ausbildung

Bachelor’s degree or equivalent in quality/healthcare

Tools

Athena EMR

Navina

Jobbeschreibung

HarmonyCares is seeking a Quality Operations Manager to lead nationwide quality operations for MA Stars, MSSP MIPS APP, and ACO REACH. You will standardize playbooks, educate care teams, and operationalize measure updates to close gaps at scale.

Responsibilities include centralized EMR chart abstraction, driving continuous process improvements, and supporting audit readiness while coordinating with Senior Population Health Managers and field teams across states.