Clinical Quality Manager- EngageMED

EngageMED•North Little Rock, AR

6d•Hybrid

About The Position

This position reports to the Director of Quality and leads the overall quality strategy and quality operations for the assigned Independent Client Practices. The Clinical Quality Manager will manage quality programs and assigned quality department staff, oversee ACO and value-based care initiatives, and monitor clinic quality scores and performance metrics, population health outcomes, and identify opportunities for continued improvement. This role involves leading monthly meetings with clinic managers, directing and assisting Senior Quality Care Coordinators, and collaborating with providers, clinic leadership, and operational teams to support quality initiatives. The manager will also lead and participate in payer, ACO, and quality performance meetings with outside vendors, and assist in preparing for audits and regulatory compliance activities. Additionally, the role supports the implementation of care gap closure activities, helps grow the Quality Department through Chronic Care Management (CCM) programs, promotes a culture of continuous improvement, and oversees MIPS reporting and performance tracking.

Requirements

5+ years clinical nursing experience
Experience in quality improvement and practice transformation
Knowledge of HIT/EHR
Experience in care management and population health
Team leadership and management experience required
Intermediate level computer skills (Excel, Word, Power Point and Outlook).
Type 50 wpm.
Exceptional skills in business English and spelling are required.
Ability to maintain confidentiality.
Strong oral and written communication skills.
Ability to compile presentations.
Medical terminology.
Ability to work collaboratively and independently to achieve stated goals.
Ability to read, interpret and apply laws, rules and regulations.
Knowledge of quality improvement processes and techniques.
Valid driver’s license and active Auto insurance required
Travel may be required.
Must be able to lift and transport 25 pounds.

Nice To Haves

Creativity.
Customer service.
Ability to meet deadlines.
Attention to detail.
Flexibility.
Initiative.
Facilitator.
Ability to relate professionally and positively with staff, business partners, customers, constituents, recipients and the public.
Ability to multitask.
Ability to prioritize.
Strong organizational skills.
Problem solving skills.
Professionalism.
Project management skills.
Time management skills.

Responsibilities

Manage quality programs and assigned quality department staff
Oversee ACO and value-based care initiatives
Monitor clinic quality scores and performance metrics, population health outcomes, and identify opportunities for continued improvement
Lead monthly meetings with clinic managers providing progress in clinic quality scores and performance metrics, as well as improvement strategies and best practices for the clinics to follow.
Direct and assist the Senior Quality Care Coordinators in the development, implementation, and the improvement of workflows, policies and procedures.
Collaborate and coordinate with providers, clinic leadership, and operational teams to support quality initiatives, evidence-based practices and strategic goals
Lead and participate in payer, ACO, and quality performance meetings with outside vendors such as Aledade, BluePrint, Stellar, etc.
Collaborate with the Quality Director, Senior Care Coordinators, and Clinic Managers on new programs, strategic initiatives, and department goals
Assist in preparing for audits, payer reviews, regulatory compliance activities
Support implementation and monitoring of care gap closure activities and population health programs
Help grow and expand the Quality Department through development and implementation of Chronic Care Management (CCM) and other care management programs
Promote a culture of continuous improvement focused on patient outcomes, operational efficiency, and value-based care success.
Oversee MIPS reporting and performance tracking for all clinic locations, ensuring accurate data submission, measure compliance, and optimization of quality scores and reimbursement opportunities through the Merit-based Incentive Payment System (MIPS) program