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The Clinical Quality Program Manager is responsible for serving as a liaison with and overseeing the quality improvement activities/projects/programs for one or more states within a major line of business. This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Primary duties may include, but are not limited to: leading state level quality strategy meetings, developing a quality plan, ensuring integration of quality into the overall business process, working with the clinical intervention team to design studies to identify barriers to medical interventions, ensuring that study methodology is sound and appropriate reporting is in place, developing performance improvement plans, overseeing clinical quality improvement activities/projects to improve the quality of care for members, assuring compliance with corporate QI work plans, maintaining effective documentation of research programs to meet regulatory and Accreditation Standards, providing oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results, participating in and providing input to the development of new product designs for major line of business, overseeing the implementation of new initiatives, leading interactions with regulators or oversight entities, and overseeing quality improvement activities for the largest, most complex state programs.
