Sr. Manager, Quality & Delegation

How Youll Make An Impact

At Strive Health patients come first. Were on a mission to transform chronic conditions by identifying risk earlier coordinating thoughtful care and supporting people through every stage of their health journey.

Our work reduces emergency visits improves outcomes and helps patients live fuller lives. Youll work alongside passionate Strivers who care deeply about making an impact show up for one another as One Team and find ways to elevate the everyday.

If youre looking for meaningful work where your contributions truly matter youll feel right at home at Strive!

Benefits & Perks

• Hybrid-Remote Flexibility Work from home while fulfilling in-person needs at the office clinic or patient home visits.
• Comprehensive Benefits Medical dental and vision insurance employee assistance programs employer-paid and voluntary life and disability insurance plus health and flexible spending accounts.
• Financial & Retirement Support Competitive compensation with a performance-based bonus program 401k with employer match and financial wellness resources.
• Time Off & Leave Paid holidays vacation time sick time and paid birthgiving bonding sabbatical and living donor leaves.
• Wellness & Growth Family forming services through Maven Maternity at no cost and physical wellness perks mental health support and an annual professional development stipend.

To learn more about our offerings click here.

WHAT YOULL DO

The Sr. Manager Quality and Delegation serves as a quality liaison to support care management teams in monitoring NCQA performance through the clinical audit process and ensuring compliance with care delivery and documentation requirements. This individualis responsible formonitoring audit interrater reliability within all Kidney Hero audit tools focusing on NCQA. The Sr. Manager Quality and Delegationutilizesclinical and qualityexpertisefor the review of documentation and processes against Strive expectations and standards accreditation and contract requirements and clinical standards for medical appropriateness. This position reports to the Director Enterprise Quality.

THE DAY TO DAY

• Oversee Complex Care Management (CCM) audit program to ensure timely monthly completion and alignment with Strive quality standards (including completion of audits).
• Serve as clinical lead on delegation audits and NCQA CM and PHP accreditation chart readiness (including file preparation mock audits gap closure ongoing monitoring and compliance).
• Synthesize qualitative audit insights and quality performance data to inform enterprise CCM performance strategy guiding clinical leadership in advancing care delivery effectiveness documentation integrity and alignment with evidence-based standards.
• Monitor CCM program changes to ensure alignment with NCQA and Strive standards.
• Provide subject matter expertise and support to clinical managers on the use of Clinical and Quality policies tools and reports and in the implementation of Quality recommendations for improvement.
• Oversee routine NCQA and ad-hoc quality audit activities to ensure compliance with Strive payor and NCQA standards drive timely audit execution and promote consistent audit determinations through interrater reliability reviews and coaching.
• Partner with Quality Improvement and analytics leadership to design implement and continuously enhance clinical audit content tools and supporting policies to advance audit program performance.
• Actively cross-train on NCQA and other clinical contractual requirements of Strive Healthdemonstrating flexibility to meet client/consumer needs.
• Meet in person with internal and/or external stakeholders to facilitate team and business priorities/opportunities. Business travel may be required for opportunities to connect with stakeholders serve patients and attend Strive-sponsored team events.

MINIMUM QUALIFICATIONS

• High school diploma or GED equivalent.
• 9 years experience in Quality Improvement Quality Management or combined related education experience or certification.
• 2 years NCQA accreditation experience.
• Efficient and reliable transportation including an active drivers license allowing for travel across an assigned region to meet business needs.
• Ability to travel and be on-site to meet business needs.
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60ms.

PREFERRED QUALIFICATIONS

• Active unrestricted RN license.
• Proficiency in Microsoft Office Adobe Acrobat and internet/web navigation.
• Care Management Certification.
• Knowledge of the organization of medical records medical terminology and disease process.

ABOUT YOU

• Strong clinical assessment and critical thinking skills.
• Ability to work in a team environment.
• Excellent verbal and written communication skills.
• Flexibility and strong organizational skills.

Annual Base Salary Range: $108500 - $136000

Final compensation will be determined based on location experience and qualifications.

Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability status protected veteran status or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications. If you require reasonable accommodation in completing this application interviewing completing any pre-employment testing or otherwise participating in the employee selection process please direct your inquiries to

We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.