Remote Care Management KPI & Performance Lead

Alliance Health in; Morrisville (NC); Remote; USD 61,000 - 78,000; Full time

Benefits offered by this job

Generous retirement savings plan

Dress flexibility

Paid time off

Job summary

Alliance Health is seeking a Care Management Performance Optimization Specialist to support data-driven reporting, analytics, and quality assurance within Care Management. This full-time remote role requires NC residency and occasional travel to the Morrisville home office.

You will develop KPI reports, coordinate with CM data teams, and help implement the Model of Care while ensuring regulatory readiness and process improvements that enhance member outcomes.

Qualifications

• Bachelor’s degree in a health or admin field with 3 years of related experience.
• Master’s degree with 1 year of health care operations/analytics experience.
• Experience with KPI reports, dashboards, and regulatory readiness.

Responsibilities

• Performance Reporting and KPI Management
• Operational Initiative and Project Support
• Trend Analysis and Issue Mitigation
• State, Federal, and Accreditation Readiness
• Knowledge Management and SharePoint Coordination
• Training, Communication, and Cross-Department Collaboration
• Perform other duties as assigned by CMPO leadership

Skills

Analytical skills

Data validation

Data interpretation

KPI reporting

Communication skills

Project coordination

SharePoint

Process improvement

Education

Bachelor’s degree in Nursing, Healthcare Administration, Human Services, Public Health, Business Administration, Data Analytics, or related field

Master’s degree in Healthcare Administration, Public Health, Business Administration, Data Analytics, or related field

Tools

SharePoint

Jiva

ServiceNow (SNOW)

NCQA

EQR

Job description

Alliance Health is seeking a Care Management Performance Optimization Specialist to support data-driven reporting, analytics, and quality assurance within Care Management. This full-time remote role requires NC residency and occasional travel to the Morrisville home office.

You will develop KPI reports, coordinate with CM data teams, and help implement the Model of Care while ensuring regulatory readiness and process improvements that enhance member outcomes.