Senior Manager, Quality at On Belay Health Solutions

, , United States -

Full Time

Start Date

Immediate

Expiry Date

28 Dec, 25

Salary

140000.0

Posted On

30 Sep, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Quality Improvement, Leadership, Data Analysis, Regulatory Compliance, Performance Management, Population Health, Value-Based Care, Healthcare Quality, Communication Skills, Team Management, Clinical Best Practices, Quality Metrics, Quality Reporting, Healthcare Regulations, Continuous Improvement, Analytical Skills

Industry

Hospitals and Health Care

Description

About the role On Belay is seeking a motivated Senior Manager, Quality. The Senior Manager, Quality is a strategic leader responsible for designing, implementing, and overseeing the quality and performance improvement programs for various Payer partners including Medicare Advantage, Medicare Accountable Care Organizations (ACO), and Commercial Payers . This role focuses on optimizing clinical outcomes, enhancing patient experience, meeting CMS and payer quality reporting requirements, and supporting value-based care initiatives across the ACO network. The Senior Manager, Quality works cross-functionally with clinical, operational, data, and administrative teams to foster a culture of continuous improvement and accountability. This is a fully remote role and applicants must be willing to work 9am - 5pm EST. We look forward to meeting interested applicants and mutually assessing fit in joining On Belay on our important mission to transform healthcare! What you'll do Strategic Leadership Develop and lead the overall quality strategy aligned with CMS regulations, payer expectations, and organizational goals. Guide clinical quality improvement and population health initiatives across the provider network. Advise executive leadership on trends, risks, and opportunities related to clinical quality and performance. Provide reporting to leadership on overall performance trends and opportunities Work with outside quality companies on successful reporting (i.e NRC, P360, etc.) Quality Improvement & Performance Management Oversee the design and execution of quality improvement programs using methodologies such as PDSA, Lean, or Six Sigma. Monitor and analyze performance on quality metrics including ACO measures (APP, MIPS), HEDIS, Stars, CAHPS, and other payer-specific requirements. Establish performance benchmarks, dashboards, and action plans to drive measurable improvement in care outcomes and cost efficiency. Regulatory Compliance & Reporting Ensure timely and accurate submission of all required CMS and commercial payer quality reports. Interpret federal and state regulations and translate requirements into organizational policies and processes. Serve as a subject matter expert for ACO quality programs including the Medicare Shared Savings Program (MSSP), REACH ACO, or other value-based models. Provider & Stakeholder Engagement Partner with physicians, care teams, and leadership to align on quality goals and foster accountability. Lead education and training on quality reporting, clinical best practices, and value-based care principles. Facilitate data-informed conversations with providers, using performance feedback to drive improvement. Team Management Direct and mentor a team of quality professionals (e.g., managers, analysts, coordinators). Promote a collaborative and high-performing team culture. Establish priorities, allocate resources, and oversee project timelines Qualifications Active LVN or RN license strongly preferred Minimum of 5 years of progressive experience in healthcare quality improvement, with at least 3 years in a leadership role. Direct experience in an ACO, health plan, or value-based care organization is required. Proven track record of managing complex quality programs and reporting requirements (e.g., CMS, NCQA, HEDIS, Stars, CAHPS, MIPS, etc.). Deep understanding of healthcare quality frameworks, population health, and value-based payment models. Expertise in regulatory reporting, data analysis, and quality measurement. Strong leadership and people management skills. Ability to translate data insights into strategic actions. Excellent written and verbal communication skills. Proficiency with quality analytics tools, Microsoft Office Suite, and EHR systems Benefits Innovative, revolutionary environment Great culture with a strong sense of mission and community Eleven (11) Paid Holidays Lavish PTO accrual Strong referral bonus program 401k Health and Dental coverage plans Flexible Work Arrangements and more! Compensation We offer a competitive base salary ranging from $125,000 to $140,000 annually, depending on experience. Come join us on the journey to better and more affordable healthcare!

Responsibilities

The Senior Manager, Quality is responsible for designing, implementing, and overseeing quality and performance improvement programs for various Payer partners. This role involves optimizing clinical outcomes, enhancing patient experience, and ensuring compliance with CMS and payer quality reporting requirements.