[Hiring] Manager, Quality Performance and Outreach @Sentara Health

Role Description

The Manager, Quality Performance and Outreach plays a critical role in driving strategic initiatives to improve STARS, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Performance Withhold Program (PWP), and Healthcare Effectiveness Data and Information Set (HEDIS) performance across the health plan and enterprise.

• Reporting directly to the Director, Quality Performance and Outreach.
• Leads cross-functional efforts to design, implement, and evaluate outreach and quality improvement programs.
• Enhances member experience, closes care gaps, and supports regulatory compliance.
• Focuses on all lines of business, including Commercial, Medicaid, and Medicare.
• Collaborates with other health plan departments, providers, vendors, and the enterprise.
• Manages a Team of 4 Direct Reports.

Qualifications

• Bachelor’s degree in Nursing, Clinical Sciences, Population Health, Healthcare Administration, Business Administration, or related field (REQUIRED).
• Registered Nurse License in Virginia OR Compact/Multi-state preferred.
• 3 years of experience with HEDIS, STARS, PWP, or Clinical Improvement (REQUIRED).
• 3 years of supervisory or management experience (REQUIRED).
• Prior experience in Project Management and Performance Improvement preferred.
• Strong project management and cross-functional collaboration skills (REQUIRED).
• Ability to interpret clinical data and translate insights into actionable strategies (REQUIRED).
• Experience working with vendors and managing outreach campaigns (REQUIRED).
• Health Plan experience is preferred.

Benefits

• Medical, Dental, Vision plans.
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000.
• Paid Time Off and Sick Leave.
• Paid Parental & Family Caregiver Leave.
• Emergency Backup Care.
• Long-Term, Short-Term Disability, and Critical Illness plans.
• Life Insurance.
• 401k/403B with Employer Match.
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education.
• Student Debt Pay Down – $10,000.
• Reimbursement for certifications and free access to complete CEUs and professional development.
• Pet Insurance.
• Legal Resources Plan.
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.