Medical Management Quality & Training Manager
New
J
JobgetherHealthcare operations
Based in the United StatesFull-TimeManager
Salary not disclosed
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Job Details
- Experience
- At least 5 years of experience in case management, medical management, quality assurance, training, healthcare operations, or a related field. At least 3 years of supervisory or people-management experience.
- Required Skills
- Data AnalysisMicrosoft ExcelQuality Assurance
Requirements
- Bachelor's degree or equivalent professional experience.
- At least 5 years of experience in case management, medical management, quality assurance, training, healthcare operations, or a related field.
- At least 3 years of supervisory or people-management experience, including coaching and developing employees.
- Experience conducting or overseeing quality audits, providing constructive feedback, and translating audit findings or scores into performance improvements.
- Experience designing and delivering structured onboarding and continuing education programs with modules, assessments, and practical learning activities.
- Ability to interpret quality metrics, large datasets, client reports, claims and utilization information, and population trends.
- Ability to identify recurring issues and develop clear, actionable operational recommendations.
- Coaching, facilitation, presentation, and communication skills, including explaining complex healthcare and operational concepts to diverse audiences.
- Ability to collaborate with Medical Management, Client Management, Growth Marketing, and other internal teams.
- Ability to manage competing priorities across people leadership, quality assurance, training, reporting, and project delivery.
- Working knowledge of adult learning principles, instructional design, quality assurance practices, self-funded health plans, and third-party administration is preferred.
- Familiarity with remote or blended learning tools and evolving learning technologies.
- Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook, and ability to learn reporting, auditing, workflow, and learning management systems.
- Ability to work remotely in a standard desk-based environment, with extended periods of sitting and computer use.
- Reliable cable broadband or fiber-optic internet connection with minimum speeds of 100 Mbps download and 25 Mbps upload.
Responsibilities
- Lead, coach, and develop the Quality and Training team by setting performance expectations, providing feedback, and allocating resources.
- Design, deliver, and maintain onboarding and continuing education programs, including training modules, assessments, exercises, reference materials, and refresher courses.
- Collaborate with department leaders and subject matter experts to identify learning needs, standardize onboarding, and coordinate cross-functional training.
- Oversee quality auditing standards, calibration practices, scorecards, and review processes.
- Guide auditors in translating recurring quality findings into targeted education and performance improvement initiatives.
- Analyze audit results, quality metrics, employee feedback, client reports, case volumes, utilization, claims, and population trends.
- Develop data-driven recommendations involving training, workflows, outreach, referrals, and operational processes.
- Evaluate quality and training initiatives using competency reviews, assessments, audit outcomes, trend analysis, and stakeholder feedback.
- Ensure impact narratives and client reports accurately describe work performed for members and value delivered to clients.
- Partner with Medical Management leadership, Client Management, and Growth Marketing on priorities, external materials, case studies, and visual content.
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