Director of Quality Management - Care Management (Remote, U.S.)

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Director of Quality Management to join our amazing leadership team!

Job Summary

As the Director of Quality Management, you will play a pivotal leadership role in shaping and driving quality initiatives that enhance program efficiency, compliance, and overall performance. You will work closely with the company's quality team to design, develop, and oversee quality monitoring activities for the care management porfolio, ensuring that operational goals align with corporate strategy.

In this role, you will lead cross-functional collaborations, streamline processes, and implement innovative solutions to improve program outcomes. Your ability to navigate challenges, drive continuous improvement, and foster a culture of excellence will be instrumental in ensuring long-term success and organizational growth.

Acentra Health is seeking a dynamic and experienced Director of Quality Management to join our exceptional leadership team. If you are passionate about driving quality initiatives, ensuring compliance, and leading high-performing teams, we invite you to bring your expertise to this impactful role!

Job Responsibilities

• Lead and implement quality management (QM) initiatives by planning, coordinating, and integrating corporate quality assurance programs to ensure continuous quality and compliance. Provide strategic consultation on continuous improvement, leveraging expertise in performance improvement methodologies, data analysis, and industry best practices.

• Establish and maintain key performance indicators (KPIs) and develop tracking, reporting, and performance improvement systems to monitor program effectiveness and drive measurable results.

• Collaborate across departments on key initiatives, including URAC accreditation, standard operating procedure (SOP) development, and product enhancement efforts, ensuring alignment with regulatory standards and organizational objectives.

• Ensure compliance by reading, understanding, and strictly adhering to all corporate policies, including HIPAA Privacy and Security Rules, to safeguard sensitive information and maintain regulatory integrity.

• Prepare and deliver comprehensive status reports and updates for internal leadership and external client stakeholders, ensuring transparency, data-driven decision-making, and alignment with organizational goals.

• Support strategic planning initiatives by aligning program activities with corporate objectives, fostering growth, innovation, and operational excellence.

• Provide leadership, operational oversight, and guidance to team members, ensuring role clarity, accountability, and alignment with performance expectations, while fostering a culture of collaboration and high performance.

• The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary.

Required Qualifications, Skills, Knowledge, and Experience

• Bachelor's degree required from an accredited college or university.
• Minimum of 3-5 years of management experience in a healthcare-related field or an equivalent combination of education and relevant experience.
• Minimum of 3-5 years of experience working with State and Federal Healthcare Programs, demonstrating a strong understanding of regulatory compliance, policies, and program administration.
• Strong knowledge and proficiency in Continuous Quality Improvement (CQI) tools, methodologies, and techniques.
• Familiarity with industry accreditation standards such as URAC, NCQA or ISO.
• Proven ability to take initiative and provide effective leadership, while maintaining confidentiality, meeting deadlines, and fostering collaboration in a team-oriented environment.
• Highly developed analytical and critical thinking skills, with the ability to objectively evaluate data, conduct statistical analysis, and translate insights into actionable strategies that drive performance improvement.
• Strong communication and interpersonal skills, enabling effective engagement and collaboration with clients, team members, and key stakeholders to achieve organizational goals.
• Thorough understanding and adherence to all corporate policies, including those related to HIPAA Privacy and Security Rules, ensuring compliance and data protection.
• Advanced problem-solving and analytical abilities, with a strategic approach to identifying program challenges and implementing data-driven solutions for operational excellence.
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Teams) with the ability to quickly learn and adapt to proprietary software applications and new technologies.
• Possession of an active, unrestricted RN license in your state (preferred but not required).

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The compensation for this role is $100,000 to $130,000 annual base salary.

Based on our compensation program, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

#LI-JS1