Remote Care Management Performance Optimization Lead

Alliance; United States; Remote; USD 61,000 - 78,000; Full time

Benefits offered by this job

Retirement plan

Flexible schedule

Paid time off

Dress code flexibility

Job summary

Alliance is seeking a Care Management Performance Optimization Specialist to support reporting, analytics, and quality improvement across the Care Management team. This full-time remote role requires NC residency with occasional travel to Morrisville for on-site meetings.

You will aggregate KPI data, validate reports, and collaborate with data analysts and cross-functional partners to enhance member outcomes, regulatory readiness, and operational alignment.

Qualifications

• Bachelor’s degree in Nursing, Healthcare Administration, Human Services, Public Health, Business Administration, Data Analytics, or related field and three (3) years of experience in health care operations, care management, population health, quality improvement, project coordination, reporting, or data analysis.
• Master’s degree in related field and one (1) year of experience in health care operations, care management, population health, quality improvement, project coordination, reporting, or data analysis.
• Experience with Care Management reporting, KPI development, SharePoint, Jiva, SNOW, EQR, NCQA, state reporting, Lean Six Sigma, or equivalent.

Responsibilities

• Aggregate, validate, and finalize KPI reports for CM leadership and teams.
• Perform quality assurance to ensure data accuracy for reporting obligations.
• Collaborate with CM Data Analysts to resolve data issues and confirm definitions.
• Provide analytical and prioritization support for operational workstreams and projects.
• Support External Quality Review readiness and NCQA readiness.
• Support Model of Care implementation and cross-functional collaboration.
• Coordinate SharePoint and information management across CM teams.

Skills

Analytical skills

Data validation

Data interpretation

Reporting dashboards

Leadership reporting

Communication skills

Project coordination

Workflow development

Cross-functional collaboration

Regulatory knowledge

Quality improvement

Microsoft Office

SharePoint

Ticketing systems

Education

Bachelor’s degree

Master’s degree

Tools

SharePoint

Jiva

ServiceNow (SNOW)

EQR

NCQA

Model of Care

Job description

Alliance is seeking a Care Management Performance Optimization Specialist to support reporting, analytics, and quality improvement across the Care Management team. This full-time remote role requires NC residency with occasional travel to Morrisville for on-site meetings.

You will aggregate KPI data, validate reports, and collaborate with data analysts and cross-functional partners to enhance member outcomes, regulatory readiness, and operational alignment.