We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).

Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!

Job Summary

Reporting to the Director of Quality and Performance Improvement, the Manager, Quality Assurance-QPI spearheads the development of quality improvement programs, manages Quality Assurance and coordinates administrative quality data and information for quality committees and the Board of Directors. Manages the Quality Management Program for the organization including the implementation and maintenance of contractual Quality Assurance Plans. Collaborates with business teams to develop, implement and maintain quality assurance and control measures that enhance overall performance. Performs complex analysis to identify systemic quality risks and control failures, and partners with Quality Improvement and operational leaders to ensure resolution. Identifies quality issues through preventative monitoring and quality assurance activities, triggering and informing quality improvement initiatives and monitoring their effectiveness.

Collaborates and develops consensus with senior leadership and staff at all levels on Quality Management. Communicates and collaborates cross-functionally with a broad scope of project plans and risk management activities. Operates with a thorough understanding of healthcare business processes, URAC and ISO standards. This role is focused on proactive, preventative quality assurance and control effectiveness rather than project-based quality improvement initiatives. Participates in new program development as necessary.

Education & Experience

Required:

• Bachelor's degree in a relevant field or equivalent practical experience
• 5+ years' experience in one or more of the following: o Quality Assurance o Performance Management o Operational Risk Management o Healthcare Operations o Process Improvement
• 3+ years' experience formally leading and managing people

Preferred:

• 8-10+ years' experience in Healthcare Quality, performance, or risk management
• Experience leading or overseeing enterprise quality assurance programs
• Lean / Six Sigma certification
• Experience in government-sponsored healthcare
• Experience supporting audits, CAPs, or accreditation reviews
• Advanced degree (MPH, MHA, MBA) or equivalent experience

Key Responsibilities

• Oversees the quality program by collaborating with business leaders to enable and monitor compliance and efficiency across critical processes.
• Partners with business leaders in developing and maintaining Quality Handbooks and Annual Plans to ensure quality and performance within each business unit.
• Manages compliance to quality handbooks / annual plans, ensuring timely completion of periodic activities and overall compliance and effectiveness during annual assessments and updates of handbooks / plans.
• Serves as the SME for Quality and Healthcare regulations.
• Leads coordination of accreditation or re-accreditation efforts by interpreting standards, collaborating with involved departments, and coordinating activities with line managers.
• Coordinates administrative quality data and information for Executive level quality meetings, including minutes with actions and decisions, and follow-up.
• Performs other duties as assigned.
• Regular and reliable attendance is required.

Competencies

Coaching / Training / Mentoring: Actively foster actions required for desired business outcomes through ongoing constructive feedback.

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.

Computer Literacy: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions.

Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.

Leadership: Successfully manage different styles of employees; provide clear direction and effective coaching.

Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment.

Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Problem Solving / Analysis: Ability to identify systemic risks, design controls to limit risk, assess control efficacy, and distinguish between one-off issues and enterprise or business-unit level quality failures.

Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment.

Working Conditions

Working Conditions:

• Availability to work non-regular hours, including weekend events
• Works within a standard office environment, with minimal travel
• Extensive computer work with prolonged sitting

TriWest job postings typically include a salary range, which can vary based on the specific role and location, but generally this position ranges from around $123, 000 to $136, 000 per year.

Company Overview

Taking Care of Our Nation's Heroes.

It's Who We Are. It's What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®!

Our job is to make sure that America's heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.

Benefits

We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage
• Paid time off
• 401(k) Retirement Savings Plan (with matching)
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
• Tuition reimbursement
• Paid volunteer time

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.