Quality Manager; Medical Assistant

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Full Time Management Phoenix - Maricopa County, Phoenix, AZ, US

8 days ago Requisition

Salary Range: $70,000.00 To $80,000.00 Annually

Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 with a mission of positively impacting the lives we touch
. Headquartered in Phoenix, AZ, with satellite locations across multiple states, APH fosters a culture rooted in inclusivity, human kindness, and high-quality care.

Recognized by Inc. 5000 as one of America’s Fastest-Growing Private Companies and honored for a fifth consecutive year as a“Best Place to Work” by the Phoenix Business Journal
, APH continues to expand its reach and impact.

APH partners with health plans, providers, hospitals, and families to deliver tailored programs including case management, in-home and in-clinic wellness assessments, preventative care, transitional care, and social services. As one of the nation’s few fully integrated healthcare organizations, APH delivers comprehensive, coordinated medical and social support through a wide range of specialized service lines.

With continued growth on the horizon, APH is seeking mission-driven individuals who are passionate about improving health outcomes and supporting those in need.

The Quality Manager is responsible for leading the development, implementation, and execution of quality improvement strategies designed to improve HEDIS performance, Medicare Stars outcomes, regulatory compliance, clinical quality, and member outcomes. This role provides strategic and operational leadership to quality initiatives, translating performance data into actionable interventions that drive measurable improvement across providers, care teams, and members.

The Quality Manager partners closely with Population Health, Clinical Operations, Provider Relations, Care Management, Member Engagement, Analytics, Compliance, and health plan partners to identify performance gaps, develop targeted interventions, monitor outcomes, and reduce variation in care delivery.

In this role, you will be responsible for traveling throughout the APH-supported states including, but not limited to, AZ, LA, NV, NM, and OR.

• Lead the development and execution of annual HEDIS and quality improvement strategies aligned with organizational and health plan priorities.
• Monitor HEDIS, Medicare Stars, quality, utilization, and other performance indicators to identify opportunities for improvement.
• Translate quality data into actionable strategies, workflows, and interventions.
• Develop and maintain quality improvement plans addressing performance gaps and opportunities.
• Ensure quality initiatives are aligned with applicable CMS, NCQA, health plan, and regulatory requirements.
• Identify trends and root causes contributing to quality gaps and develop sustainable solutions.
• Partner with Analytics to develop, validate, and monitor quality dashboards, reports, KPIs, and performance metrics.
• Establish performance targets and regularly evaluate progress toward organizational and health plan goals.
• Segment and prioritize members, providers, and populations based on identified quality gaps and opportunities.
• Monitor intervention effectiveness and adjust strategies based on performance and outcomes.
• Use data to identify workflow breakdowns, variation in care, and opportunities to improve provider and member outcomes.
• Oversee operational execution of HEDIS and quality improvement initiatives, including outreach, care gap closure, medical record retrieval, documentation improvement,…