About The Position

Works collaboratively to lead and establish appropriate performance management/ quality improvement systems. The Manager is responsible for overall implementation and maintenance of quality management programs and facilitates assigned programs with specified objectives. This includes compliance to standards of the National Committee on Quality Assurance (NCQA), Integrated Healthcare Association (IHA), Centers for Medicare and Medicaid Services (CMS), health plan regulations and contractual requirements, standards, and projects pertaining to quality management, standard work and clinical improvement initiatives. Assumes responsibility for ensuring or supporting assessment and planning, performance measurement and monitoring, evaluation and quality improvement for the delivery of quality patient care.

Requirements

  • Bachelor's degree in Management, public health, nursing, business administration, organizational leadership or related field, or equivalent education/experience.
  • RN-Registered Nurse of California OR MD-Medical Doctor OR PharmD-Pharmacist OR PA-Physician Assistant OR NP-Nurse Practitioner.
  • 8 years recent relevant experience.
  • Knowledge of population health management practices, policy, programs, initiatives and functions.
  • Advanced computer skills in Microsoft Office (Word, Excel, Outlook, PowerPoint), Epic, MIDA.
  • Must have organizational skills and the ability to balance numerous priorities at the same time, be detail-oriented, self-directed and able to work with minimal supervision.
  • Customer service skills.
  • Ability to compile, organize, summarize, prepare in text or graphic form and proofread extensive spreadsheets and data from a variety of sources.
  • Ability to write executive summaries.
  • Must be able to deal appropriately with confidential and sensitive information and to demonstrate diplomacy, tact and a high level of professionalism.
  • Organizational skills, ability to work on multiple projects under multiple deadlines; must be highly energetic, and able to embrace challenges and change.
  • Must be a team player and work well with a variety of people in all levels of the organization.
  • Experience in successfully facilitating collaborative, cross-functional projects, including the ability to define program project or process objective, identify stakeholders and their interests, plan steps, coordinate and allocate human, technological, and fiscal resources to accomplish goals and objectives in a resourceful and timely manner.
  • An in-depth knowledge of regulations and guidelines for governing areas of responsibility.
  • Knowledge of and experience in process improvement (e.g., lean or process transformation).
  • Understand applicable quality measures as defined by HEDIS, Integrated Healthcare Association (IHA), CMS, Accountable Care Organizations (ACOs) and other ambulatory quality measurement programs.

Nice To Haves

  • Operations, leadership, critical thinking, analysis, teaching, facilitation, coaching, mentoring and project management skills.
  • Ability to train staff in various quality improvement and performance improvement methodologies.
  • Exemplary written and oral communication skills; to include presentations and comprehensive analysis reporting on performance improvement issues.
  • Ability to analyze problems, to reach practical conclusions, and institute effective changes.

Responsibilities

  • Lead and establish appropriate performance management/ quality improvement systems.
  • Oversee the overall implementation and maintenance of quality management programs.
  • Facilitate assigned programs with specified objectives, ensuring compliance with NCQA, IHA, CMS, and health plan regulations.
  • Support assessment and planning, performance measurement and monitoring, evaluation, and quality improvement for quality patient care delivery.
  • Train staff in various quality improvement and performance improvement methodologies.
  • Partner and collaborate with physician leadership and work effectively with providers and physician site leadership.
  • Evaluate the performance of staff, identify behavior and performance problems, and staff development needs, and take appropriate actions.
  • Implement department policies and procedures and ensure adherence.
  • Compile, organize, summarize, prepare in text or graphic form and proofread extensive spreadsheets and data from a variety of sources.
  • Write executive summaries.
  • Deal appropriately with confidential and sensitive information and demonstrate diplomacy, tact and a high level of professionalism.
  • Lead safety/quality/clinical effectiveness initiatives with a high level of independence.
  • Facilitate collaborative, cross-functional projects, including defining program/project/process objectives, identifying stakeholders, planning steps, and coordinating resources.

Benefits

  • Comprehensive benefits package
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