Senior National Quality Performance Manager in New York at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior National Quality Performance Manager based in United States.

This senior-level role provides strategic and consulting support for enterprise-wide healthcare quality performance initiatives.
You will collaborate with health plan leaders and cross-functional stakeholders to improve quality outcomes through data, analytics, and disciplined program management.
The position spans quality measurement, HEDIS performance, survey analytics, health equity, supplemental data, and regulatory readiness.
You will turn complex healthcare data into actionable insights that help identify care gaps and drive measurable performance improvements.
The role also requires strong oversight of data ingestion, reporting, documentation, vendor engagement, and quality program delivery.
Working in a highly matrixed environment, you will serve as a trusted subject matter resource while communicating risks, recommendations, and progress to leadership.
This opportunity is ideal for a data-driven healthcare quality professional who combines analytical depth with strong project leadership and stakeholder management skills.

• Lead quality data collection strategies, analytics, and reporting across areas including quality-rate trending and forecasting, provider performance, CAHPS and survey analytics, health equity, social determinants of health, and external vendor engagement.
• Partner with health plan quality leaders and enterprise stakeholders to develop and execute quality performance improvement initiatives aligned with strategic objectives.
• Manage complex quality programs and assignments, ensuring deliverables are completed on time, within scope, and within available resources.
• Oversee quality data ingestion strategies and activities, improving the completeness and accuracy of EHR, HIE, and supplemental data used to support quality performance.
• Independently investigate complex quality issues, using data analysis, project management, and cross-functional collaboration to identify root causes and implement effective solutions.
• Lead program execution and changes, maintain alignment with objectives, and provide leadership and stakeholders with clear updates on progress, risks, issues, and outcomes.
• Analyze quality performance data to draw actionable conclusions, identify care gaps, and recommend initiatives that improve clinical and operational outcomes.
• Ensure quality programs meet applicable regulatory requirements and audit guidelines, maintaining roadmaps, deliverables, and timelines that support HEDIS audit readiness and success.
• Collaborate across teams to ensure data moves accurately through required transformations and produces reliable insights for quality improvement.
• Develop, review, and maintain quality program documentation, including plans, reports, records, and supporting materials.
• Monitor program risks and escalate unresolved or high-impact concerns appropriately while maintaining strong stakeholder relationships and customer trust.
• Serve as an advanced subject matter resource for the quality team and provide informal guidance, knowledge sharing, and support to colleagues on assigned initiatives and processes.
• Maintain flexibility to support evolving priorities and additional quality-related initiatives as business needs change.

• At least 4 years of program or project management experience within healthcare quality, including experience supporting HEDIS targeting, reporting, or comparable quality performance activities.
• Relevant healthcare industry experience and a strong functional understanding of quality programs and performance improvement.
• Experience running queries using Microsoft Azure and/or SQL Server, with the ability to work confidently with healthcare data.
• Strong capabilities in data analysis, manipulation, interpretation, and reporting.
• Excellent quantitative, critical-thinking, analytical, and problem-solving skills, with the ability to simplify complex concepts and communicate them clearly.
• Exceptional attention to detail, organization, and the ability to manage multiple projects and competing priorities.
• Strong verbal, written, presentation, and stakeholder-management skills.
• Proven ability to collaborate effectively across highly matrixed organizations and with diverse functional teams.
• Proficiency with Microsoft Office, particularly Excel, along with the ability to quickly learn and navigate new software platforms.
• Intermediate knowledge of NCQA, HEDIS, CMS, and state-specific regulatory submission requirements is preferred.
• Experience with Microsoft Azure Databricks and SQL is preferred.
• Familiarity with healthcare claims and coding elements such as CPT, CPT II, LOINC, SNOMED, HCPCS, NDC, CVX, NPI, and TIN is preferred.
• Experience working within a managed care organization supporting Medicaid, Medicare, and/or Marketplace programs is preferred.
• PMP certification is preferred.
• Six Sigma Green Belt or Black Belt certification, or comparable coursework, is preferred.

• Annual salary range of $65,791.66–$142,548.59, with actual compensation determined by factors such as geographic location, experience, education, and skill level.
• Full-time employment with a broad healthcare benefits and compensation package.
• Opportunity to contribute to enterprise-level healthcare quality and performance improvement initiatives.
• Exposure to HEDIS, regulatory quality programs, healthcare analytics, health equity, and data-driven care improvement.
• Collaborative, cross-functional working environment with opportunities to provide senior-level expertise and influence strategic initiatives.
• Opportunity to develop expertise across complex healthcare quality data, reporting, and performance programs.
• Equal opportunity employment environment committed to considering qualified candidates fairly and without discrimination.