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Healthfirst Clinical Quality Program Manager in New York, New York


The Clinical Quality Program Manager supports the Clinical Quality department by acting as an internal resource for quality measures/programs, including but not limited to CMS Stars, HEDIS and NYS specific measures in support of the Healthfirst Quality Incentive Program (HQIP).


  • Develop training tools and programs focused on Quality measures included in the Healthfirst provider incentive program

  • Works with internal provider facing staff on an ongoing and as needed basis on provider incentive program and other quality related initiatives

  • Provide ongoing assistance and act as a resource for provider facing departments

  • Ensures that appropriate reporting is in place and reviews reporting regularly to monitor actual to goal performance measures

  • Leads quality related meetings and determines the appropriate operational focus and course of action to achieve goals

  • Contribute to creating new processes or services to optimize operational areas

  • Lead meaningful change and process effectiveness through continuous focus and improvement

  • Act as a subject matter expert for process document creation

  • Partner and consult with internal organizations to create and execute training plans

  • Other duties as assigned

Minimum requirements:

  • Bachelor’s degree

  • Experience in Quality, performing a wide range of functions with strong focus on data analysis and initiation of improvement initiatives that resulted in desired outcome

  • Experience in a health care delivery organization, such as a managed care organization

  • Proficient in MS Office

Preferred requirements:

  • RN/LPN/Master’s degree

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law, and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

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