Regional Quality Lead

Mosaic Health, LLC.; Indiana, Northern (PA, KY); Hybrid; USD 85,000 - 128,000; Full time

Job summary

Mosaic Health, LLC. is seeking a Senior Clinical Quality Analyst to lead complex quality initiatives across care settings and stakeholder groups. You will establish methodologies, governance, and technical standards for quality measures to drive improvements.

You will interpret regulatory and payer requirements, advise senior leadership on risks and priorities, and design interventions to close persistent gaps with rigorous measurement methods.

Qualifications

Responsibilities

• Direct complex clinical quality initiatives involving multiple care settings, programs, and stakeholder groups.
• Establish methodologies, governance processes, and technical standards for assigned quality measures or programs.
• Interpret new or ambiguous accreditation, regulatory, payer, and value‑based care requirements.
• Advise senior leadership on quality performance trends, emerging risks, improvement priorities, and resource needs.
• Design interventions for persistent or systemic quality gaps and define methods for measuring effectiveness.
• Resolve escalated quality measurement, methodology, documentation, and reporting issues across the function.
• Provide expert guidance to quality professionals and clinical partners on advanced improvement and measurement practices.

Job description

Job Description Summary

Senior Clinical Quality Analyst serves as the primary subject‑matter resource for a defined area of clinical quality measurement or improvement. The job directs complex cross‑functional initiatives, establishes quality methodologies, interprets ambiguous requirements, and advises senior leaders on performance risks, improvement priorities, and clinical quality practices.

How will you make an impact & Requirements

• Direct complex clinical quality initiatives involving multiple care settings, programs, and stakeholder groups.
• Establish methodologies, governance processes, and technical standards for assigned quality measures or programs.
• Interpret new or ambiguous accreditation, regulatory, payer, and value‑based care requirements.
• Advise senior leadership on quality performance trends, emerging risks, improvement priorities, and resource needs.
• Design interventions for persistent or systemic quality gaps and define methods for measuring effectiveness.
• Resolve escalated quality measurement, methodology, documentation, and reporting issues across the function.
• Provide expert guidance to quality professionals and clinical partners on advanced improvement and measurement practices.

Compensation Range

Compensation Range: $85,159.00 to $127,738.00 The anticipated base salary range represents the Company's good‑faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans.