This role focuses on managing health plan quality programs and performance improvement work with an RN lens, supporting efforts to improve clinical quality measures and outcomes. The work is primarily remote and centers on coordinating quality initiatives, tracking performance, and collaborating across teams to support plan-level goals.
Key Responsibilities
- Coordinate health plan quality program activities and performance improvement efforts.
- Track and report quality metrics, trends, and outcomes.
- Collaborate with internal teams to support clinical quality initiatives and action plans.
- Use data and quality measures to identify opportunities for improvement.
- Support documentation, follow-up, and workflow processes related to quality programs.
Required
- Registered Nurse (RN) licensure.
- Experience in health plan quality, performance improvement, or related managed care work.
Preferred
- Experience working in a remote or hybrid environment.
- Background in healthcare quality measurement or program management.
Benefits & Perks
- Remote work arrangement.