CCO Quality Metrics Program Manager

Job Overview

Looking for a way to make an impact and help people? Join Pacific Source and help our members access quality, affordable care! Pacific Source is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age.

Pacific Source values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.

• Lead the development, implementation, and management oversight of the company’s Coordinated Care Organization Quality Incentive Measures program.
• Facilitate multidisciplinary teams to develop aligned strategies, share best practices, and remain up to date on Oregon Health Authority policies, metric specifications, and changes to the CCO QIM program across all regions.
• Collaborate extensively with internal and external stakeholders—such as Population Health, Health Services, Provider Network, Operations, Analytics, Regional and Line of Business leaders—to address all aspects of QIM performance.
• Lead, develop, and implement QIM multi-year work plans to support continuous quality improvement and achieve strategic goals.
• Collaborate and work cross‑functionally to influence, lead, and promote change that drives continuous quality performance improvement.
• Ensure responsible parties are improving QIM performance both internally and externally.
• Oversee metric data flow and ongoing monitoring of performance across quality measures.
• Analyze data to understand patterns in performance and variations across populations that support quality improvement and equity‑focused strategies.
• Identify and implement strategic and tactical internal and community initiatives aimed at maximizing member outcomes and QIM results across all Pacific Source CCO regions.
• Serve as a core resource and point of contact for internal and external partners, including the OHA, applying depth understanding of specifications, data sources, and other key aspects of the program across all regions.
• Interpret and disseminate information regarding changes to the metric program and advocate on behalf of partners to OHA and decision‑making bodies.
• Report on current metric performance, strategy, potential risks and program developments to internal leadership and governing bodies.
• Manage and oversee the QIM performance dashboards, work‑plan progress, forecasting, elevate performance risks, and mitigation plans for metrics not meeting improvement targets.
• Participate in statewide and regional work groups, learning collaboratives, and advisory committee meetings to stay informed on metric program development and best practices.
• Conduct annual program evaluation, identify areas of opportunities, and present findings and recommendations to key stakeholders and leadership.
• Serve as Health Plan subject matter expert on the OHA QIM program and Technical Specifications.

• Meet department and company performance and attendance expectations.
• Follow Pacific Source privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
• Perform other duties as assigned.

• Minimum 5 years of experience in managed care with emphasis on quality improvement programs.
• Experience with Oregon Medicaid, program development, project management, and quality improvement strongly preferred.
• Bachelor’s Degree required in a related field; associate’s degree with 2 years of relevant experience or high school diploma with 4 years of relevant experience also considered.
• Graduate degree preferred.
• Knowledge of Medicaid programs, CCO structure, incentive metrics programs, national measure specifications and quality improvement strategies strongly preferred.
• Solid experience using…