Senior Quality Program Manager – ACO & Healthcare

Evolving Solution Services; Town of Florida (NY); On-site; USD 100,000 - 150,000; Full time

Job summary

Evolving Solution Services is seeking an ACO Quality Project Manager to provide strategic leadership and operational oversight for enterprise-wide quality programs including MSSP, ACO REACH, and Commercial payer programs. The role drives end-to-end quality performance, planning, execution, reporting, audit readiness, and continuous improvement across the organization.

The position partners with executives, provider consultants, analytics, IT, and practice leadership to translate regulatory

Qualifications

• Bachelor’s degree in nursing, public health, healthcare administration, or related field.
• Minimum 3–5 years of experience in healthcare quality or performance improvement.
• Experience with quality measurement programs such as CMS ACO measures, HEDIS, STARS, and CAHPS.
• Experience with data analysis and QI methodologies (Lean, Six Sigma, PDSA, etc.).

Responsibilities

• Own the quality strategy for assigned ACO payer programs, aligning annual quality goals with organizational priorities and contractual benchmarks.
• Develop and maintain an annual Quality Improvement Strategic Plan with interventions, timelines, owners, and success metrics.
• Lead quality improvement efforts for high-impact measures (diabetes, hypertension, cancer screening) with cross-functional alignment.
• Provide oversight of quality reporting activities ensuring timely submissions across payer programs.
• Lead audit readiness activities and ensure successful payer audits with minimal findings.

Education

Bachelor’s degree in nursing, Public Health, Healthcare Administration, or related field

Master’s degree preferred

Job description

Evolving Solution Services is seeking an ACO Quality Project Manager to provide strategic leadership and operational oversight for enterprise-wide quality programs including MSSP, ACO REACH, and Commercial payer programs. The role drives end-to-end quality performance, planning, execution, reporting, audit readiness, and continuous improvement across the organization.

The position partners with executives, provider consultants, analytics, IT, and practice leadership to translate regulatory